Blackmon, Alvin

Blackmon, Alvin is an individual health care provider with primary practice located at 300 W Hospital Rd , Fort Gordon GA 30905-5741. He recently has only one registered license in Pharmacy Service Providers / Nuclear, which is considered as his primary health care specialty. Blackmon, Alvin can be contacted via phone (706) 787-7763.

Contact Information

Primary practice address
300 W Hospital Rd Fort Gordon GA 30905-5741
Phone: (706) 787-7763
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nuclear 1835N0905X 0202205702 Virginia
Pharmacy Service Providers / Nuclear 1835N0905X 017025 Louisiana

Profile Details

NPI number 1104125095
LBN Legal business name Blackmon, Alvin
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2011
Last updated Mar 18th, 2011 - about 13 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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