Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEMETRIOUS J. BLACKMON, M.D.
ActiveDR. DEMETRIOUS J. BLACKMON, M.D. is a Nephrology healthcare provider located in STOCKBRIDGE, Georgia. NPI 1578592994 is currently active in the NPPES registry. Verify at CMS.
Nephrology · STOCKBRIDGE, GA
Registration Details
- NPI Number
- 1578592994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2006 (20.137460486886 yrs)
- Last Updated
- Mar 4, 2015
- Licenses
-
MD38696 (TN)57778 (GA)
Practice Information
- Address
-
250 VILLAGE CENTER PWKYSUITE 100STOCKBRIDGE, GA, 302819044Browse GA providers · Browse ZIP 30281
- Phone
- 6782890508
- Fax
- 6782890124
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Other Nephrology Providers in STOCKBRIDGE, GA
| Name | Credential | NPI |
|---|---|---|
| LEO OVADJE | M.D. | 1386635795 |
| MUHAMMED HAFIZ RAHMAN | MD | 1538144894 |
| SANJAY SHARMA | MD | 1760455125 |
| DR. MOHAMAD M KASSEM | M.D. | 1891726121 |
| DR. CHUDAMANI RAO POLKAMPALLY | M.D. | 1275620452 |
| JANICE LATRICE WEATHERSPOON | MD | 1982819330 |
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.