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Dr. Demetrious J. Blackmon, MD
Nephrology Physician in Stockbridge, Georgia
NPI 1578592994

Demetrious J. Blackmon is a Nephrology Physician based in Stockbridge, GA and is specialized in Nephrology. Demetrious J. Blackmon practices in Stockbridge, GA and has the professional credentials of MD. The NPI Number for Demetrious J. Blackmon is 1578592994 and holds a License No. MD38696 (Georgia).

The current practice location address for Demetrious J. Blackmon is 250 Village Center Pwky, Stockbridge, GA and can be reached out via phone at 678-289-0508 and via fax at 678-289-0124.

Location: 250 Village Center Pwky, Stockbridge, GA, 30281-9104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578592994
Provider Name
Demetrious J. Blackmon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
250 Village Center Pwky, Stockbridge, GA, 30281-9104
Phone Number
678-289-0508
Fax Number
678-289-0124
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009934159 05 AL
662769049A 05 GA
P00254515 01 TN RAILROAD MEDICARE
3334458 05 TN
4111806 01 TN BCBS OF TENNESSEE
662769049F 05 GA
3334459 05 TN
581365705 01 GA CHAMPUS
4152444 01 TN BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
250 Village Center Pwky
City
Stockbridge
State
Georgia
Zip
30281-9044
Phone Number
678-289-0508
Fax Number
678-289-0124
person
Provider Business Mailing Address Details
Address
250 Village Center Pwky
City
Stockbridge
State
Georgia
Zip
30281-9044
Phone Number
678-289-0508
Fax Number
678-289-0124
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
57778 (Georgia)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
MD38696 (Tennessee)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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