STEPHEN C BLACKMON

LUMBERTON, NC
NPI1386054781
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5006856)
Enumeration Date2014-05-07
Last Update Date2014-05-07
Business Address
-- STEPHEN C BLACKMON FNP
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5000
Mailing Address
-- STEPHEN C BLACKMON FNP
2600 N ELM ST
LUMBERTON, NC 28358-3011
Phone number: 910-671-5290