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Contact Information

MERCEDES M BLACKMON, RN
613 AUGUSTUS LN
MOUNT HOLLY, NC28120-7714
 Phone: 810-334-8043
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for MERCEDES M BLACKMON · (Female)

NPI # 1720835168
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/03/2024
Last updated 05/03/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 321655
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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