Individual
DR. WILLIAM M BLACKMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 226-2020
(706) 217-2876
Mailing address
1111 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 226-2020
(706) 217-2876
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
016312
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060398A
—
GA
Enumeration date
06/01/2005
Last updated
12/05/2008
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