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Mr. Jonathan Blackmon, IDC
Independent Duty Corpsman in Saint Marys, Georgia
NPI 1619916186

Jonathan Blackmon is a Independent Duty Corpsman based in Kings Bay, GA and is specialized in Independent Duty Corpsman. Jonathan Blackmon practices in Saint Marys, GA and has the professional credentials of IDC. The NPI Number for Jonathan Blackmon is 1619916186 and holds a License No. (Georgia).

The current practice location address for Jonathan Blackmon is 603 Wild Grape Dr, Saint Marys, GA and can be reached out via phone at 912-573-2940.

Location: 603 Wild Grape Dr, Saint Marys, GA, 31547-2531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619916186
Provider Name
Jonathan Blackmon
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
603 Wild Grape Dr, Saint Marys, GA, 31547-2531
Phone Number
912-573-2940
Fax Number
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
603 Wild Grape Dr
City
Saint Marys
State
Georgia
Zip
31558-3619
Phone Number
912-573-2940
Fax Number
person
Provider Business Mailing Address Details
Address
603 Wild Grape Dr
City
Saint Marys
State
Georgia
Zip
31558-3619
Phone Number
912-573-2940
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Medical Technologist
Taxonomy
246QM0706X
License No.
()
Definition
Definition to come...
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