Mr. Jonathan Blackmon, IDC
Mr. Jonathan Blackmon, IDC is a Medical Technologist in Saint Marys, Georgia. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
603 Wild Grape DrSaint Marys, GA 31558-3619
Phone: (912) 573-2940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|---|
| Medical Technologist | Taxonomy 246QM0706X |
Record details
| NPI number | 1619916186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2006 |
| Last updated in NPPES | August 12, 2021 |
| Certification date | August 12, 2021 |
| Mailing address | 881 Uss James Madison Rd, Naval Submarine Support Center Medical Department, Kings Bay, GA 31547-2531 |