Micah Shawn Blackmon in Atlanta - Urology
Micah Shawn Blackmon - NPI 1588876411
Micah Shawn Blackmon is a Urology in Atlanta, Georgia. Micah Shawn Blackmon practices all healthcare services and medical treatments related to Urology. The NPI Number for Micah Shawn Blackmon is 1588876411. The last update date is 2014-10-02.
Micah Shawn Blackmon's current location address is Po Box 102321, Atlanta, Georgia. You can contact this provider via phone number 7708012500 and fax number 7708032121. The mailing address for Micah Shawn Blackmon is Po Box 102321, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Micah Shawn Blackmon |
|---|---|
| Address | Po Box 102321, Atlanta, Georgia |
| Phone Number | 7708012500 |
| Fax Number | 7708032121 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588876411 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2014-10-02 |
Provider Mailing Address Detail
| Address | Po Box 102321 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303682321 |
| Phone Number | 7708012500 |
| Fax Number | 7708032121 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 59045 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202I348220 | GA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Micah Shawn Blackmon by the Centers for Medicare & Medicaid Services?
The Micah Shawn Blackmon has been issued the NPI (National Provider Identifier) 1588876411 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Micah Shawn Blackmon is located?
The Micah Shawn Blackmon is situated at the following address: Po Box 102321, Atlanta, GA, 303682321.
What is Micah Shawn Blackmon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Micah Shawn Blackmon's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588876411 to Micah Shawn Blackmon?
The Micah Shawn Blackmon received its 1588876411 assignment from the Centers for Medicare & Medicaid Services on 2007-05-04.
When was the Micah Shawn Blackmon's information last updated?
The Micah Shawn Blackmon's information was last updated on 2014-10-02.
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