| Mr Thomas Blackmon, | |
|
217 E Carolina Ave, Hartsville, SC 29550-4305 | |
| (843) 332-4141 | |
| Not Available |
| Full Name | Mr Thomas Blackmon |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 217 E Carolina Ave, Hartsville, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053431064 | NPI | - | NPPES |
| 376241 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Blackmon, 125 E Cheves St, Florence, SC 29506-2526 Ph: (843) 317-4089 | Mr Thomas Blackmon, 217 E Carolina Ave, Hartsville, SC 29550-4305 Ph: (843) 332-4141 |
Eric Radcliff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 E. Carolina Ave., Hartsville, SC 29550 Phone: 843-332-4156 | |
Taylor Pederson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S 4th St, Hartsville, SC 29550 Phone: 843-332-4141 | |
Mr. Lentheus Mcalister, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Carolina Ave, Hartsville, SC 29550 Phone: 843-332-4141 | |
Angela Wellman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 E Carolina Ave, Hartsville, SC 29550 Phone: 843-857-0074 Fax: 843-857-0081 | |
Brittany Cranford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1451 Retail Row, Hartsville, SC 29550 Phone: 843-383-4848 Fax: 843-383-4828 | |
Kadeshia Mack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1451 Retail Row, Hartsville, SC 29550 Phone: 843-383-4848 Fax: 843-383-4828 |