| Dr Sumpter D Blackmon Pa | |
|
321 Whiskey Run Rd Camden AL 36726-2303 | |
| (334) 682-4128 | |
| (334) 682-9151 |
| Full Name | Dr Sumpter D Blackmon Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 321 Whiskey Run Rd, Camden, Alabama |
| Authorized Official Name and Position | Sumpter Dudley Blackmon (PRESIDENT) |
| Authorized Official Contact | 3346824128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sumpter D Blackmon Pa Po Box 699 Camden AL 36726-0699 Ph: (334) 682-4128 | Dr Sumpter D Blackmon Pa 321 Whiskey Run Rd Camden AL 36726-2303 Ph: (334) 682-4128 |
| NPI Number | 1720153539 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 02/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720153539 | NPI | - | NPPES |
| 000000454 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5754 (Alabama) | Primary |
J Paul Jones Hospital Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Whiskey Run Rd, Camden, AL 36726 Phone: 334-682-4128 | |
J. Paul Jones Hospital Board Wilcox Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Mcwilliams Ave, Camden, AL 36726 Phone: 334-682-4224 Fax: 334-682-4138 | |
Physicians Care Of Camden Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24b Camden Byp, Camden, AL 36726 Phone: 334-882-1919 Fax: 334-636-1989 | |
J. Paul Jones Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 319 Mcwilliams Ave, Camden, AL 36726 Phone: 334-682-4224 Fax: 334-682-4138 | |
Physicians Care Of Clarke Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24b Camden Byp, Camden, AL 36726 Phone: 334-882-1919 | |
Physicians Care Of Clarke Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24b Camden Byp, Camden, AL 36726 Phone: 334-882-1919 |