JESSE A BLACKMAN, MD, PA
Marriage and Family Therapists in Fremont, NC

License number
North Carolina 18609
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JESSE A BLACKMAN M.D.
Title: PRESIDENT
Phone: (919) 242-5550
Address
Address
109 S. Sycamore St, Fremont, NC 27830
National Provider ID: 1407887862
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JESSE A. BLACKMAN, M.D., PA

Fremont, NC

Status:
Inactive
Registration:
May 2, 1996
Addresses:
109 S Sycamore St, Fremont, NC 27830 (Physical)
PO Box 878, Fremont, NC 27830 (Mailing)
State ID:
0395205
Agent:
Jesse A Blackman Md

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