Individual
DR. AKIA D BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1384 ATWOOD AVE, JOHNSTON, RI 02919-4904
(401) 934-0400
Mailing address
1119 HARTWELL RD, LOCUST GROVE, GA 30248-4589
(229) 347-4565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03572
RI
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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