EBONY BLACKMON

ATLANTA, GA
NPI1881024776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2013-11-14
Last Update Date2013-11-14
Business Address
-- EBONY BLACKMON PA
80 JESSE HILL JR DR SE
ATLANTA, GA 30303-3031
Phone number: 404-616-6419
Mailing Address
-- EBONY BLACKMON PA
3817 NORTHUMBERLAND DR
LOUISVILLE, KY 40245-1890
Phone number: 502-641-7689
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