JOSEPH ALLEN BLACKMON — Medicare Enrolled Provider (PRACTITIONER - DERMATOLOGY, KY)
JOSEPH ALLEN BLACKMON — Medicare Enrolled Provider (PRACTITIONER - DERMATOLOGY, KY) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: JOSEPH ALLEN BLACKMON; Type: Individual; NPI: 1003133901.
| Name | JOSEPH ALLEN BLACKMON |
|---|---|
| Type | Individual |
| NPI | 1003133901 |
| Provider type | PRACTITIONER - DERMATOLOGY |
| State | KY |
| Enrollment ID | I20150710002397 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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