Individual
AYONA LASHON BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, DNP
Contact information
Practice address
395 MILLARD FARMER IND BLVD STE B, NEWNAN, GA 30263-1000
(678) 330-6361
Mailing address
49 HOUSER DR, NEWNAN, GA 30263-6346
(470) 848-8117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GAA-NP002268
GA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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