Blackmon, Timothy Heath

Blackmon, Timothy Heath is an individual health care provider with primary practice located at 354 Newnan Crossing Byp Suite 200, Newnan GA 30265-2323. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Blackmon, Timothy Heath can be contacted via phone (770) 460-4747.

Contact Information

Primary practice address
354 Newnan Crossing Byp Suite 200 Newnan GA 30265-2323
Phone: (770) 460-4747
Fax: (678) 673-5102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT002165 Georgia

Profile Details

NPI number 1275883951
LBN Legal business name Blackmon, Timothy Heath
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2012
Last updated Oct 30th, 2015 - about 10 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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