Individual
ROSALIND BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HOSPITAL RD, FT. GORDON, GA 30905
(706) 787-8290
Mailing address
300 HOSPITAL RD, FT. GORDON, GA 30905
(706) 787-8290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN160138
GA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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