Individual
TIMOTHY P BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3634 CAPE CENTER DR, FAYETTEVILLE, NC 28304
(910) 485-6470
(910) 485-8198
Mailing address
3634 CAPE CENTER DR, FAYETTEVILLE, NC 28304
(910) 485-6470
(910) 485-8198
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16094
BCBS OF NC
NC
05
—
8916094
—
NC
Enumeration date
02/16/2006
Last updated
01/09/2008
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