John William Black M.D.

NPI 1023092095 - Radiology - 2085R0202X

NPI Details
NPI 1023092095
Gender Male
Enumeration Date 12/02/2005
Last Updated 01/28/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
CHARLOTTE NC, 28211-1187, US
Phone (704) 332-1291
Fax (704) 332-5206
Business Location
PO BOX 221249
CHARLOTTE NC, 28222-1249, US
Phone (704) 332-1291
Fax (704) 332-5206
Taxonomy Code 2085R0202X
License State South Carolina
License Number 27821
Remove 1023092095 NPI Number

According to our database, Dr. John William Black M.D. NPI is 1023092095, taxonomy code is 2085R0202X and license number is 27821, license state is located at South Carolina. John William Black M.D. physically located at 3623 Latrobe Dr, Charlotte NC, 28211-1187. NPI Number John William Black M.D. has the Individual type.

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1023092095 NPI number is provided on an as is basis without warranty of any kind. 1023092095 is maintained by the National Plan & Provider Enumeration System. The contents of John William Black M.D. are for informational purposes only.