Blackmon, Billy Jacob

Blackmon, Billy Jacob is an individual health care provider with primary practice located at 154 Rosemont St , Saint Simons Island GA 31522-1777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Blackmon, Billy Jacob can be contacted via phone (912) 580-8162.

Contact Information

Primary practice address
154 Rosemont St Saint Simons Island GA 31522-1777
Phone: (912) 580-8162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0058928 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35.094883 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 001196 Georgia

Profile Details

NPI number 1215058110
LBN Legal business name Blackmon, Billy Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 21st, 2022 - about 4 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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