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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUMPTER DUDLEY BLACKMON, M.D.

Deactivated

DR. SUMPTER DUDLEY BLACKMON, M.D. is a Family Medicine healthcare provider located in CAMDEN, Alabama. NPI 1972506194 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · CAMDEN, AL

This NPI has been deactivated. The record was deactivated on March 15, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1972506194
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2005 (0.81095890410959 yrs)
Last Updated
Sep 15, 2015
Deactivated
Mar 15, 2006
License
5754 (AL)

Practice Information

Address
321 WHISKEY RUN RD
CAMDEN, AL, 367262303
Browse AL providers · Browse ZIP 36726
Phone
3346824128
Fax
3346829151
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CAMDEN, AL

Name Credential NPI
MICHAEL MCNABNEY MD 1386388569
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.