Individual provider · NPI-1
Dr. Amy Blake, MD
Dermatology · Dublin, GA
NPI number1386148708
StatusActive
Last updated in NPPESAug 8, 2022
Details
- NPI
- 1386148708
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amy Blake
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2018
- Certification date
- Aug 8, 2022
- Last updated
- Aug 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 92981 | GA | Yes |
| 207N00000X | Dermatology | 237994 | NC | |
| 207R00000X | Internal Medicine | 237994 | NC |
Other names
- Amy Temas (Former Name)
Practice location
2400 Bellevue Rd Ste 21aDublin, GA 31021-2890
Phone 478-328-9219
Mailing address
2400 Bellevue Rd Ste 21aDublin, GA 31021-2890
Phone 478-328-9219 · Fax 478-328-0438
Other practice locations
1350 S Kings Dr Fl 3
Charlotte, NC 28207-2134
Charlotte, NC 28207-2134
Phone 704-446-1242 · Fax 704-446-1241
410 Market St Ste 400
Chapel Hill, NC 27516-4061
Chapel Hill, NC 27516-4061
Phone 984-974-3900 · Fax 984-974-3692
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