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NPI Profile for ISRAEL D BLAKE in THOMASVILLE, GA.
A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Religious Nonmedical Practitioner |
374K00000X | |||
Pastoral |
101YP1600X |
| NPI Number | 1598500605 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/28/2024 | |
| Last updated | 06/28/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ISRAEL D BLAKE
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ISRAEL D BLAKE