Blackmon, Jonathan

Blackmon, Jonathan is an sole proprietor health care provider with primary practice located at 603 Wild Grape Dr , Saint Marys GA 31558-3619. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Medical Technologist, Other Service Providers / Independent Duty Corpsman. Other Service Providers / Independent Duty Corpsman is his primary health care specialty. Blackmon, Jonathan can be contacted via phone (912) 573-2940.

Contact Information

Primary practice address
603 Wild Grape Dr Saint Marys GA 31558-3619
Phone: (912) 573-2940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1619916186
LBN Legal business name Blackmon, Jonathan
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Aug 12th, 2021 - about 5 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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