DONALD L BLACKMON JR.

Dr DONALD L BLACKMON JR. is a male medical professional, specializing in Internal Medicine. He graduated in 1980 from Medical University Of South Carolina College Of Medicine.

Contact

6160N DAVIS HWY 5
PENSACOLA
FL
325046967

Tel:

DONALD L BLACKMON JR. Information

Npi 1992719421
Pac Id 6608059753
Professional Enrollment Id I20110328000830
Last Name BLACKMON
First Name DONALD
Middle Name L
Suffix JR.
Gender M
Credential
Medical School Name MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 1980
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 6160N DAVIS HWY 5
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PENSACOLA
State FL
Zip Code 325046967
Phone Number
Hospital Affiliation Ccn 1 100025
Hospital Affiliation Lbn 1 SACRED HEART HOSPITAL
Hospital Affiliation Ccn 2 100093
Hospital Affiliation Lbn 2 BAPTIST HOSPITAL
Hospital Affiliation Ccn 3 100266
Hospital Affiliation Lbn 3 GULF BREEZE HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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