| Dr Thomas Leon Blake, DC | |
|
104 North Greensboro Street, Liberty, NC 27298-3203 | |
| (336) 622-1600 | |
| Not Available |
| Full Name | Dr Thomas Leon Blake |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 104 North Greensboro Street, Liberty, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013075746 | NPI | - | NPPES |
| 890830H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2074 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Leon Blake, DC 3199 Carriage Creek Ct, Haw River, NC 27258-9047 Ph: (336) 261-3113 | Dr Thomas Leon Blake, DC 104 North Greensboro Street, Liberty, NC 27298-3203 Ph: (336) 622-1600 |
Dr. Thomas L Blake Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 104 N Greensboro Street, Liberty, NC 27298 Phone: 336-622-1600 Fax: 336-622-1600 | |
Dr Thomas Blake Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 122 N Fayetteville St, Liberty, NC 27298 Phone: 336-622-1600 Fax: 336-622-1600 |