MARK BLACKMON

Physician Assistant

Active Individual
NPI: 1184359051

Practice Address

1559 SPARTA ST
Mcminnville, TN 37110

Phone: (931) 815-4000

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 5627 (TN)

Frequently Asked Questions

NPI 1184359051 is the National Provider Identifier for MARK BLACKMON, a Physician Assistant provider located in Mcminnville, TN. This NPI was enumerated on July 23, 2022.
MARK BLACKMON practices at 1559 SPARTA ST, Mcminnville, TN 37110.

Quick Facts

NPI
1184359051
Type
Individual
Enumerated
Jul 23, 2022
Last Updated
Sep 11, 2023

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