Individual
DR. ELLEN KAY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1390 CAPITAL BLVD, RALEIGH, NC 27603-1118
(919) 256-2169
Mailing address
7808 SENTER FARM RD, APEX, NC 27539-9788
(919) 773-9010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101046579
VA
207R00000X
Internal Medicine Physician
Primary
2008-00079
NC
207R00000X
Internal Medicine Physician
MD033736E
PA
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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