Individual
MR. GEORGE RYAN BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
902B PALM BLVD S, NICEVILLE, FL 32578-2603
(850) 307-0035
Mailing address
902B PALM BLVD S, NICEVILLE, FL 32578-2603
(850) 307-0035
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
33644
CA
111N00000X
Chiropractor
Primary
CH12981
FL
Other
Enumeration date
07/13/2016
Last updated
11/23/2020
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