Blackmon, Gregory D
Blackmon, Gregory D is an individual health care provider with primary practice located at 7714 Conner Rd Suite 101, Powell TN 37849-3559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Blackmon, Gregory D can be contacted via phone (865) 212-6350.Contact Information
Primary practice address
7714 Conner Rd Suite 101
Powell TN 37849-3559
Phone: (865) 212-6350
Fax: (865) 212-6350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28729 | Tennessee |
Profile Details
| NPI number | 1609898865 |
|---|---|
| LBN Legal business name | Blackmon, Gregory D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609898865 | NPPES |
| Tennessee | MEDICAID | 2 |
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