# BLACKMER MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013821206
- **Authorized official:** DR. SHANNON BLACKMER (OWNER)
- **Authorized official phone:** (612) 280-2767

## Contact information

- **Practice address:** 1030 LOFTIS BLVD STE 101, NEWPORT NEWS, VA 23606-2999
- **Practice address phone:** (757) 596-7938
- **Mailing address:** 11712 JEFFERSON AVE \# 763, NEWPORT NEWS, VA 23606-4406
- **Mailing address phone:** (612) 280-2767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2026
- **Last updated:** 10/02/2026