DAVAUL BLACKMON

MONTGOMERY, AL
NPI1700771847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AL  2025023280)
Enumeration Date2025-06-10
Last Update Date2026-01-17
Business Address
DAVAUL BLACKMON
2105 E SOUTH BLVD
MONTGOMERY, AL 36116-2409
Phone number: 334-747-2100
Mailing Address
DAVAUL BLACKMON
310 TELLURIDE LN
MIDLAND CITY, AL 36350-7034
Phone number: 334-791-8748
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