Individual
JAMES WAYNE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
501 MAIN ST, GATESVILLE, NC 27938-9424
(252) 357-1226
(252) 357-1236
Mailing address
PO BOX 297, GATESVILLE, NC 27938-0297
(252) 357-1226
(252) 357-1236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101269
NC
Other
Enumeration date
03/30/2006
Last updated
01/28/2019
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