DR. Demetrious J. Blackmon, M.D.
NPI #1578592994 in Stockbridge, Georgia
Provider Information
- NPI Number
- 1578592994
- Entity Type
- Individual
- Name
- DR. Demetrious J. Blackmon, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Nephrology
- Credential
- M.D.
- Enumeration Date
- Jun 30, 2006
- Last Updated
- Mar 4, 2015
Practice Location
- Address
- 250 VILLAGE CENTER PWKY
- Address 2
- SUITE 100
- City
- Stockbridge
- State
- Georgia
- ZIP Code
- 30281-9044
- Phone
- (678) 289-0508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Internal Medicine - Nephrology — Nephrology |
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