Individual provider · Type 1 NPI

Mary Olivia Blackmon

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1366887002 Active

Practice location

800 Lakeshore Dr
Birmingham, AL 35229-0001

Call (205) 726-4472 Map

Mailing address

547 Legrand Pl
Montgomery, AL 36106-1825

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XT34014 (AL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

169 other providers at this address

Other student in an organized health care education/training program providers in Birmingham

See all in Birmingham →

About NPI 1366887002

Mary Olivia Blackmon's National Provider Identifier is 1366887002, issued on May 8, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on May 8, 2013.