Individual
HAROLD TODD BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2601 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4784
(334) 528-5400
(334) 528-5421
Mailing address
2601 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4784
(334) 528-5400
(334) 528-5421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-081439
AL
Other
Enumeration date
05/20/2020
Last updated
08/16/2021
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