Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BILLY JACOB BLACKMON, MD
ActiveBILLY JACOB BLACKMON, MD is a Diagnostic Radiology healthcare provider located in SAINT SIMONS ISLAND, Georgia. NPI 1215058110 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · SAINT SIMONS ISLAND, GA
Registration Details
- NPI Number
- 1215058110
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2007 (19.399206914241 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
DR.0058928 (CO)35.094883 (OH)001196 (GA)
Practice Information
- Address
-
154 ROSEMONT STSAINT SIMONS ISLAND, GA, 315221777Browse GA providers · Browse ZIP 31522
- Phone
- 9125808162
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.