Individual
JOHN FREDRICK BLUE, JR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MORVEN RD, WADESBORO, NC 28170-2745
(800) 893-9698
Mailing address
719 N VANCE ST, SANFORD, NC 27330-3449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89131HT
—
NC
Enumeration date
04/10/2006
Last updated
07/08/2007
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