| Jonathan C Blackmore, DO | |
|
412 South East Center St, Faison, NC 28341 | |
| (910) 267-1942 | |
| Not Available |
| Full Name | Jonathan C Blackmore |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 412 South East Center St, Faison, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972653269 | NPI | - | NPPES |
| 1489881 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200500942 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan C Blackmore, DO Po Box 187, Faison, NC 28341-0187 Ph: (910) 267-2042 | Jonathan C Blackmore, DO 412 South East Center St, Faison, NC 28341 Ph: (910) 267-1942 |
Mr. Mian Bashir Daud, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 444 Sw Center Street, Faison, NC 28341 Phone: 910-267-0421 Fax: 910-267-0441 | |
Walter R Schmits Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 444 Sw Center St, Faison, NC 28341 Phone: 910-267-0421 Fax: 910-267-0441 |