DR SUMPTER D BLACKMON PA
Ambulatory Health at Whiskey Run Rd, Millers Ferry, AL

License number
Alabama 5754
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. SUMPTER DUDLEY BLACKMON M.D.
Title: PRESIDENT
Phone: (334) 682-4128
Address
Address
321 Whiskey Run Rd, Millers Ferry, AL 36726
National Provider ID: 1720153539
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dr. Sumpter D. Blackmon, PA

Camden, AL 36726

Registration:
Nov 1, 1977
State ID:
048-485
Business type:
Domestic Professional Association
Formation place:
Wilcox County
Member:
Sumpter D Blackmon (Member)

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