Individual
DR. TONYA BLACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1117 CHILMARK AVE, WAKE FOREST, NC 27587-5334
(919) 569-6708
Mailing address
1117 CHILMARK AVE, WAKE FOREST, NC 27587-5334
(919) 569-6708
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
35057
GA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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