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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609898865 NPPES
Tennessee MEDICAID 2

Popular Providers