Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY HEATH BLACKMON
ActiveTIMOTHY HEATH BLACKMON is a Athletic Trainer healthcare provider located in NEWNAN, Georgia. NPI 1275883951 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NEWNAN, GA
Registration Details
- NPI Number
- 1275883951
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2012 (13.896874588346 yrs)
- Last Updated
- Oct 30, 2015
- License
-
AT002165 (GA)
Practice Information
- Address
-
354 NEWNAN CROSSING BYPSUITE 200NEWNAN, GA, 302652323Browse GA providers · Browse ZIP 30265
- Phone
- 7704604747
- Fax
- 6786735102
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NEWNAN, GA
| Name | Credential | NPI |
|---|---|---|
| MS. JANECE A RISTY | ATC | 1790951168 |
| JORDAN ELIZABETH FOWLER | ATC, LAT | 1134505910 |
| STEPHEN WILLIAM JACON | — | 1356823363 |
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.