IndividualActive
Blake Hairston
NPI 1902158280 · Case Manager/Care Coordinator · Martinsville, VA
Provider details
- NPI number
- 1902158280
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
590 Northfork Rd
Martinsville, VA 24112-1353
Phone: (276) 734-6140
Approximate (ZIP-level) locationGet directions
Mailing address
590 Northfork Rd
Martinsville, VA 24112-1353
Registry dates
- Enumerated
- 2012-10-10
- Last updated
- 2012-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.