Jonathan Blackmon, IDC

Individual Active
NPI 1619916186
Independent Duty Corpsman Saint Marys, GA

NPI 1619916186 belongs to Jonathan Blackmon, IDC, an independent duty corpsman with a practice location in Saint Marys, GA. The NPI was issued on June 6, 2006, and the record was last updated in NPPES on August 12, 2021. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002X Not listed
Medical Technologist 246QM0706X Not listed

Practice location

603 Wild Grape Dr
Saint Marys, GA 31558-3619
Phone: (912) 573-2940

Local context

Active NPPES records list 62 providers with independent duty corpsman as the primary taxonomy within 25 miles of this practice location's ZIP code, 35 of them within 10 miles.

The same primary taxonomy is listed by 44 in Georgia and 3,581 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Jonathan Blackmon
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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