Individual
DR. DANIEL BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 TABERNACLE RD, BLACK MOUNTAIN, NC 28711-2526
(828) 669-3480
Mailing address
102 TACOMA CIR, ASHEVILLE, NC 28801-1626
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
23830
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23830
STATE MEDICAL LICENSE
NC
Enumeration date
03/23/2007
Last updated
07/08/2007
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