Organization
BLAKESLEE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BLAKESLEE (OWNER)
(919) 602-7632
Entity
Organization
Contact information
Practice address
709 A O SMITH RD, MEBANE, NC 27302-2752
(919) 602-7632
Mailing address
5604 RUSH SPRINGS CT, RALEIGH, NC 27617-4625
(919) 602-7632
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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