Blackmon, Sumpter Dudley
Blackmon, Sumpter Dudley is an individual health care provider with primary practice located at 321 Whiskey Run Rd , Camden AL 36726-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blackmon, Sumpter Dudley can be contacted via phone (334) 682-4128.Contact Information
Primary practice address
321 Whiskey Run Rd
Camden AL 36726-2303
Phone: (334) 682-4128
Fax: (334) 682-9151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5754 | Alabama |
Profile Details
| NPI number | 1972506194 |
|---|---|
| LBN Legal business name | Blackmon, Sumpter Dudley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 15th, 2015 - about 10 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 | 1972506194 | NPPES |
| Alabama | MEDICAID | 000000454 |
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