License holder summary

BLACKMON, MICAH SHAWN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BLACKMON, MICAH SHAWN, MD is 775 POPLAR RD. | SUITE 160, Newnan 30265. This doctor license is current. The license was granted 03/02/2007 and expired on 12/31/2016.

Georgia

Composite Medical Board

BLACKMON, MICAH SHAWN, MD
Medical - Physician
License number
059045
Date granted
03/02/2007
Date expires
12/31/2016
Class
Medical - Physician
Status
Active
Address
775 POPLAR RD. | SUITE 160
georgiadoctors.net
ID 38028894
LAST UPDATED 2024-04-17 23:01:31 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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