Provider profile

Individual

Billy Jacob Blackmon

Radiology in Saint Simons Island, GA. NPI 1215058110, listed in the CMS NPI Registry since 04/02/2007. Bills Medicare.

NPI 1215058110Specialty RadiologyEnumerated 04/02/2007
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Registry and Medicare facts

Practice location
154 Rosemont St, Saint Simons Island, GA 31522
CMS NPI Registry
Phone
(912) 580-8162
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
04/02/2007
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
6,975 Part B
CMS Medicare 2024

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