Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN BLACKMON, IDC
Active Sole ProprietorIndependent Duty Corpsman · SAINT MARYS, GA
Registration Details
- NPI Number
- 1619916186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2006 (19.878572465952 yrs)
- Last Updated
- Aug 12, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
603 WILD GRAPE DRSAINT MARYS, GA, 315583619Browse GA providers · Browse ZIP 31558
- Phone
- 9125732940
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
- Additional Specialty
- Independent Duty Corpsman
Other Independent Duty Corpsman Providers in SAINT MARYS, GA
| Name | Credential | NPI |
|---|---|---|
| RICHARD COLLIER NEAL | — | 1619955655 |
| SEAN MASON | — | 1780640722 |
| MR. DAVID MICHAEL HOLT | IDC | 1225156441 |
| ALEXANDRA L RICHEY | — | 1528721412 |
| MR. JACOB MATTHEW NELSON | IDHS | 1053037887 |
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.