License holder summary

BLACKMON, MICAH SHAWN is a Medical - Resident Physician licensed to practice in Georgia. The address on file for BLACKMON, MICAH SHAWN is 120 MAPLE HILL DR., Newnan 30265. This doctor license is not current. The license was granted 07/02/2004 and expired on 06/30/2007.

Georgia

Composite Medical Board

BLACKMON, MICAH SHAWN
Medical - Resident Physician
License number
000169
Date granted
07/02/2004
Date expires
06/30/2007
Class
Medical - Resident Physician
Status
Lapsed
Address
120 MAPLE HILL DR.
georgiadoctors.net
ID 38114574
LAST UPDATED 2024-02-06 11:04:10 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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