JORDON BLACKMON

LAWRENCEVILLE, GA
NPI1407640725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  12984)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence:   12984)
363A00000X Physician Assistant
(Licence: GA  12984)
Enumeration Date2025-04-09
Last Update Date2025-04-28
Business Address
JORDON BLACKMON PA-C
501 CROWN POINTE WAY
LAWRENCEVILLE, GA 30046
Phone number: 678-344-8900
Mailing Address
JORDON BLACKMON PA-C
1551 JANMAR RD
SNELLVILLE, GA 30078-5606
Phone number: 470-579-5600