License holder summary

BLACKMON, EBONY is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for BLACKMON, EBONY is 2124 CHESHIRE BRIDGE RD #6208, Atlanta 30324. This doctor license is current. The license was granted 01/09/2014 and expired on 03/31/2017.

Georgia

Composite Medical Board

BLACKMON, EBONY
Medical - Physician Assistant
License number
007070
Date granted
01/09/2014
Date expires
03/31/2017
Class
Medical - Physician Assistant
Status
Active
Address
2124 CHESHIRE BRIDGE RD #6208
georgiadoctors.net
ID 38096634
LAST UPDATED 2024-04-16 16:23:35 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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