Blackman, William M

Blackman, William M is an individual health care provider with primary practice located at 1111 Professional Blvd , Dalton GA 30720-2588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Blackman, William M can be contacted via phone (706) 226-2020.

Contact Information

Primary practice address
1111 Professional Blvd Dalton GA 30720-2588
Fax: (706) 217-2876
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 016312 Georgia

Profile Details

NPI number 1114929478
LBN Legal business name Blackman, William M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 5th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114929478 NPPES
Georgia MEDICAID 00060398A

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