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Dr Sumpter D Blackmon Pa
Clinic/Center in Camden, Alabama
NPI 1720153539

Dr Sumpter D Blackmon Pa is a Clinic/Center based in Camden, AL. Dr Sumpter D Blackmon Pa practices in Camden, AL. The NPI Number for Dr Sumpter D Blackmon Pa is 1720153539 and holds a License No. 5754 (Alabama).

The current practice location address for Dr Sumpter D Blackmon Pa is 321 Whiskey Run Rd, Camden, AL and can be reached out via phone at 334-682-4128 and via fax at 334-682-9151.

Location: 321 Whiskey Run Rd, Camden, AL, 36726-0699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720153539
Provider Name
Dr Sumpter D Blackmon Pa
Credential
Provider Entity Type
Organization
Address
321 Whiskey Run Rd, Camden, AL, 36726-0699
Phone Number
334-682-4128
Fax Number
334-682-9151
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000454 05 AL
institution
Provider Business Practice Location Address Details
Address
321 Whiskey Run Rd
City
Camden
State
Alabama
Zip
36726-2303
Phone Number
334-682-4128
Fax Number
334-682-9151
person
Provider Business Mailing Address Details
Address
321 Whiskey Run Rd
City
Camden
State
Alabama
Zip
36726-2303
Phone Number
334-682-4128
Fax Number
334-682-9151
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
5754 (Alabama)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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