person
Mary Olivia Blackmon
Student in an Organized Health Care Education/Training Program in Birmingham, Alabama
NPI 1366887002

Mary Olivia Blackmon is a Student in an Organized Health Care Education/Training Program based in Montgomery, AL. Mary Olivia Blackmon practices in Birmingham, AL. The NPI Number for Mary Olivia Blackmon is 1366887002 and holds a License No. T34014 (Alabama).

The current practice location address for Mary Olivia Blackmon is 800 Lakeshore Dr, Birmingham, AL and can be reached out via phone at 205-726-4472.

Location: 800 Lakeshore Dr, Birmingham, AL, 36106-1825
person
Provider Profile Details
NPI Number
1366887002
Provider Name
Mary Olivia Blackmon
Credential
Provider Entity Type
Individual
Gender
Female
Address
800 Lakeshore Dr, Birmingham, AL, 36106-1825
Phone Number
205-726-4472
Fax Number
Provider Enumeration Date
05/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Lakeshore Dr
City
State
Zip
35229-0001
Phone Number
205-726-4472
Fax Number
person
Provider Business Mailing Address Details
Address
800 Lakeshore Dr
City
State
Zip
35229-0001
Phone Number
205-726-4472
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
T34014 (Alabama)
Definition
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.
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