Organization
BLAIR FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOTT PARKS BLAIR IV MD (OWNER)
(910) 285-2134
Entity
Organization
Contact information
Practice address
404 E MAIN ST, WALLACE, NC 28466-2726
(910) 285-3380
Mailing address
404 E MAIN ST, WALLACE, NC 28466-2726
(910) 285-3380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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