Blackmon, Alvin
Blackmon, Alvin is an individual health care provider with primary practice located at 300 W Hospital Rd , Fort Gordon GA 30905-5741. He recently has only one registered license in Pharmacy Service Providers / Nuclear, which is considered as his primary health care specialty. Blackmon, Alvin can be contacted via phone (706) 787-7763.Contact Information
Primary practice address
300 W Hospital Rd
Fort Gordon GA 30905-5741
Phone: (706) 787-7763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Nuclear | 1835N0905X | 0202205702 | Virginia |
| Pharmacy Service Providers / Nuclear | 1835N0905X | 017025 | Louisiana |
Profile Details
| NPI number | 1104125095 |
|---|---|
| LBN Legal business name | Blackmon, Alvin |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2011 |
| Last updated | Mar 18th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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