Dr Tonya Blache, MD in Wake Forest, NC - Preventive Medicine

Dr Tonya Blache, MD is a Preventive Medicine - Public Health & General Preventive Medicine physician based in Wake Forest, North Carolina. Dr Tonya Blache is licensed to practice in Georgia (license number 35057) and her current practice location is 1117 Chilmark Ave, Wake Forest, North Carolina. She can be reached at her office (for appointments etc.) via phone at (919) 569-6708.

NPI number for Dr Tonya Blache is 1629445325 and her current mailing address is 1117 Chilmark Ave, Wake Forest, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629445325.

Contact Information

	Dr Tonya Blache, MD
	1117 Chilmark Ave, Wake Forest, NC 27587-5334
	(919) 569-6708
	Not Available

Physician's Profile

Full Name	Dr Tonya Blache
Gender	Female
Speciality	Preventive Medicine - Public Health & General Preventive Medicine
Location	1117 Chilmark Ave, Wake Forest, North Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1629445325
Provider Enumeration Date: 08/28/2015
Last Update Date: 08/28/2015

Medical Identifiers

Medical identifiers for Dr Tonya Blache such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629445325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	35057 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tonya Blache is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Tonya Blache, MD 1117 Chilmark Ave, Wake Forest, NC 27587-5334 Ph: (919) 569-6708	Dr Tonya Blache, MD 1117 Chilmark Ave, Wake Forest, NC 27587-5334 Ph: (919) 569-6708

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Dr Tonya Blache, MD - Preventive Medicine in Wake Forest, NC