Search › Georgia › 207RN0300X
Demetrious Blackmon, M.D
NPI 1578592994 · on the registry since 2006
Practice
- Address
- 250 Village Center Pwky
Suite 100
Stockbridge, GA 30281 - Phone
- (678) 289-0508
- Fax
- (678) 289-0124
Registry record
- Primary taxonomy
- 207RN0300X
207RN0300X
- Also registered as
- 207R00000X
- Licence states on file
- TN, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-04
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