Billy Jacob Blackmon in Saint Simons Island - Diagnostic Radiology
Billy Jacob Blackmon - NPI 1215058110
Billy Jacob Blackmon is a Diagnostic Radiology in Saint Simons Island, Georgia. Billy Jacob Blackmon practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Billy Jacob Blackmon is 1215058110. The last update date is 2022-07-21.
Billy Jacob Blackmon's current location address is 154 Rosemont St, Saint Simons Island, Georgia. You can contact this provider via phone number 9125808162. The mailing address for Billy Jacob Blackmon is 154 Rosemont St, Saint Simons Island, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Billy Jacob Blackmon |
|---|---|
| Address | 154 Rosemont St, Saint Simons Island, Georgia |
| Phone Number | 9125808162 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215058110 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 154 Rosemont St |
|---|---|
| City | Saint Simons Island |
| State | Georgia (GA) |
| Post Code | 315221777 |
| Phone Number | 9125808162 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | DR.0058928 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the Billy Jacob Blackmon's 1215058110?
The Billy Jacob Blackmon's NPI (National Provider Identifier) Number is 1215058110. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Billy Jacob Blackmon is located?
The Billy Jacob Blackmon is situated at the following address: 154 Rosemont St, Saint Simons Island, GA, 315221777.
What is Billy Jacob Blackmon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Billy Jacob Blackmon is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215058110 to Billy Jacob Blackmon?
The Centers for Medicare & Medicaid Services originally issued the 1215058110 to Billy Jacob Blackmon on 2007-04-02.
When was the Billy Jacob Blackmon's information last updated?
The Billy Jacob Blackmon's information was last updated on 2022-07-21.