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NPI 1104125095

IndividualActive

Alvin Blackmon, PHARMD

NPI 1104125095 · Nuclear Pharmacist · Fort Gordon, GA

Provider details

NPI number: 1104125095
Entity type: Individual
Primary specialty: Nuclear PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 0202205702 (VA)

Practice location

300 W Hospital Rd

Fort Gordon, GA 30905-5741

Phone: (706) 787-7763

More GA providers

Mailing address

300 W Hospital Rd

Fort Gordon, GA 30905-5741

Registry dates

Enumerated: 2011-03-18
Last updated: 2011-03-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alvin Blackmon, PHARMD — NPI 1104125095, Fort Gordon, GA | NPI Central