Individual provider · NPI-1

Dr. Samer Bedi Blackmon, MD

Internal Medicine · Newnan, GA

NPI number1104935063
StatusActive
Last updated in NPPESJan 23, 2019

Details

NPI
1104935063
Entity type
Individual (NPI-1)
Name
Dr. Samer Bedi Blackmon
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2006
Last updated
Jan 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME98265FLYes

Practice location

1825 Highway 34 E
St. 3000
Newnan, GA 30265-1325

Phone 770-252-6767 · Fax 404-564-5902

Mailing address

1615 Highway 34 E
Piedmont Physicans At White Oak
Newnan, GA 30265-1325

Phone 770-252-6767 · Fax 404-614-2004

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