Individual
DR. ROBERT ADAMS BLAKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 SUMMIT CROSSING PLACE, SUITE 108, GASTONIA, NC 28054
(704) 865-0077
(704) 867-6401
Mailing address
620 SUMMIT CROSSING PLACE, SUITE 108, GASTONIA, NC 28054
(704) 865-0077
(704) 867-6401
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16492
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8916174
—
NC
Enumeration date
02/13/2006
Last updated
07/08/2007
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