Individual provider · Type 1 NPI

Brandi Blackmon, PA-C

Surgical Physician Assistant · Camden, SC

NPI number 1588515183 Active

Practice location

1102 Roberts St
Camden, SC 29020-3734

Mailing address

PO Box 23321
New York, NY 10087-4321

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

5 other providers at this address

About NPI 1588515183

Brandi Blackmon, PA-C's National Provider Identifier is 1588515183, issued on Feb 9, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Camden, SC. The record was last updated on Feb 11, 2026.