MR. Jonathan Blackmon, IDC
NPI #1619916186 in Saint Marys, Georgia
Provider Information
- NPI Number
- 1619916186
- Entity Type
- Individual
- Name
- MR. Jonathan Blackmon, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Aug 12, 2021
Practice Location
- Address
- 603 WILD GRAPE DR
- City
- Saint Marys
- State
- Georgia
- ZIP Code
- 31558-3619
- Phone
- (912) 573-2940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Pathology - Medical Technologist — Medical Technologist |
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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