OrganizationActive
Charlene Lydia Blaine
NPI 1063403160 · Pulmonary Disease Physician · Garner, NC
Provider details
- NPI number
- 1063403160
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Charlene Blaine, President
- License
- 9500533 (NC)
Practice location
11048 Cleveland Road
Suite 101-102
Garner, NC 27529
Phone: (919) 359-9920
Fax: (919) 359-2520
Mailing address
11048 Cleveland Road
Garner, NC 27529
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.