Jonathan Blackmon in Kings Bay - Independent Duty Corpsman
Jonathan Blackmon - NPI 1619916186
Jonathan Blackmon is a Independent Duty Corpsman in Kings Bay, Georgia. Jonathan Blackmon practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Jonathan Blackmon is 1619916186. The last update date is 2021-08-12.
Jonathan Blackmon's current location address is 881 Uss James Madison Rd, Kings Bay, Georgia. You can contact this provider via phone number 9125732940. The mailing address for Jonathan Blackmon is 881 Uss James Madison Rd, Kings Bay, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Blackmon |
|---|---|
| Address | 881 Uss James Madison Rd, Kings Bay, Georgia |
| Phone Number | 9125732940 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1619916186 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2021-08-12 |
Provider Mailing Address Detail
| Address | 881 Uss James Madison Rd |
|---|---|
| City | Kings Bay |
| State | Georgia (GA) |
| Post Code | 315472531 |
| Phone Number | 9125732940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the unique 10-digit identifier code assigned to Jonathan Blackmon by the Centers for Medicare & Medicaid Services?
The Jonathan Blackmon has been issued the NPI (National Provider Identifier) 1619916186 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jonathan Blackmon located?
The Jonathan Blackmon is located at 881 Uss James Madison Rd, Kings Bay, GA 315472531.
What is Jonathan Blackmon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jonathan Blackmon is Independent Duty Corpsman, and the taxonomy code that classifies this field of practice is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619916186 to Jonathan Blackmon?
The Centers for Medicare & Medicaid Services assigned the 1619916186 to Jonathan Blackmon on 2006-06-06.
As of what date was the information regarding Jonathan Blackmon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jonathan Blackmon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-08-12.