Dr KELLY BLACKMON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
2501 N PATTERSON ST
VALDOSTA
GA
316021735
Tel:
| Npi | 1992110688 |
| Pac Id | 3072830058 |
| Professional Enrollment Id | I20150401001028 |
| Last Name | BLACKMON |
| First Name | KELLY |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA |
| Group Practice Pac Id | 1355334509 |
| Number Of Group Practice Members | 90 |
| Line 1 Street Address | 2501 N PATTERSON ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VALDOSTA |
| State | GA |
| Zip Code | 316021735 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 110122 |
| Hospital Affiliation Lbn 1 | SOUTH GEORGIA MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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