Individual provider · Type 1 NPI
Billy Jacob Blackmon, MD
Diagnostic Radiology Physician · St. Simons Island, GA
NPI number
1215058110
Active
Practice location
154 Rosemont St
St. Simons Island, GA 31522-1777
Other practice locations
- 234 Goodman St, Cincinnati, OH 45219-2364 · (513) 584-7355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DR.0058928 (CO) |
| Diagnostic Radiology Physician | 2085R0202X | 35.094883 (OH) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 001196 (GA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1215058110
Billy Jacob Blackmon, MD's National Provider Identifier is 1215058110, issued on Apr 2, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Simons Island, GA. The record was last updated on Jul 21, 2022.