Dr DEMETRIOUS BLACKMON MD is a male medical professional, specializing in Nephrology. He graduated in 2002 from University Of South Alabama College Of Medicine.
SOUTHERN CRESCENT NEPHROLOGY PC
250 VILLAGE CTR PKWY
SUITE 100
STOCKBRIDGE
GA
302819104
Tel: 6782890508
| Npi | 1578592994 |
| Pac Id | 6103851225 |
| Professional Enrollment Id | I20080520000248 |
| Last Name | BLACKMON |
| First Name | DEMETRIOUS |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | SOUTHERN CRESCENT NEPHROLOGY PC |
| Group Practice Pac Id | 2466449269 |
| Number Of Group Practice Members | 8 |
| Line 1 Street Address | 250 VILLAGE CTR PKWY |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 302819104 |
| Phone Number | 6782890508 |
| Hospital Affiliation Ccn 1 | 110191 |
| Hospital Affiliation Lbn 1 | PIEDMONT HENRY HOSPITAL |
| Hospital Affiliation Ccn 2 | 110165 |
| Hospital Affiliation Lbn 2 | SOUTHERN REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 110215 |
| Hospital Affiliation Lbn 3 | PIEDMONT FAYETTE HOSPITAL |
| Hospital Affiliation Ccn 4 | 110031 |
| Hospital Affiliation Lbn 4 | WELLSTAR SPALDING REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 5 | 110161 |
| Hospital Affiliation Lbn 5 | NORTHSIDE HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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