Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICAH SHAWN BLACKMON, MD
ActiveDR. MICAH SHAWN BLACKMON, MD is a Urology healthcare provider located in NEWNAN, Georgia. NPI 1588876411 is currently active in the NPPES registry. Verify at CMS.
Urology · NEWNAN, GA
Registration Details
- NPI Number
- 1588876411
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2007 (19.294167884679 yrs)
- Last Updated
- Oct 2, 2014
- License
-
059045 (GA)
Practice Information
- Address
-
775 POPLAR RDSUITE 160NEWNAN, GA, 302658300Browse GA providers · Browse ZIP 30265
- Phone
- 7704004630
- Fax
- 7702546069
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in NEWNAN, GA
| Name | Credential | NPI |
|---|---|---|
| DONALD P. FINNERTY | M.D. | 1780667329 |
| BOB B. MANN | M.D. | 1194709329 |
| FARHANG RABBANI | MD | 1477530897 |
| SCOTT W SHELFO | M.D. | 1053414458 |
| ROGER CHEN | M.D. | 1164786091 |
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.