MICAH SHAWN BLACKMON

NEWNAN, GA
NPI1588876411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: GA  059045)
Enumeration Date2007-05-04
Last Update Date2014-10-02
Business Address
Dr. MICAH SHAWN BLACKMON MD
775 POPLAR RD SUITE 160
NEWNAN, GA 30265-8300
Phone number: 770-400-4630
Mailing Address
Dr. MICAH SHAWN BLACKMON MD
PO BOX 102321
ATLANTA, GA 30368-2321
Phone number: 770-801-2500
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