Blackmon, Adrien

Blackmon, Adrien is an individual health care provider with primary practice located at 12420 Cumming Hwy Ste 306, Canton GA 30115-7568. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Blackmon, Adrien can be contacted via phone (678) 947-3600.

Contact Information

Primary practice address
12420 Cumming Hwy Ste 306 Canton GA 30115-7568
Phone: (678) 947-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X Georgia

Profile Details

NPI number 1770909707
LBN Legal business name Blackmon, Adrien
Credentials D.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2014
Last updated Mar 14th, 2014 - about 11 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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