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Individual

DR. ZACHARY NEIL BLACKMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 439-1000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102205367
VA
207P00000X
Emergency Medicine Physician
84597
GA
207R00000X
Internal Medicine Physician
0116030650
VA
207R00000X
Internal Medicine Physician
Primary
84597
GA

Other

Enumeration date
06/14/2017
Last updated
04/02/2020
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