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Search › Georgia › 2255A2300X

Timothy Blackmon

NPI 1275883951 · on the registry since 2012

Practice

Address
354 Newnan Crossing Byp
Suite 200
Newnan, GA 30265
Phone
(770) 460-4747
Fax
(678) 673-5102
Organisation at this address
Orthoatlanta
Starlight Aba Ga Llc
Brave Minds Wellness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia