Robert E Black III MD

NPI 1003015728 - Anesthesiology - 207L00000X

NPI Details
NPI 1003015728
Gender Male
Enumeration Date 07/12/2007
Last Updated 04/02/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE GA, 30046-0000, US
Phone (770) 277-3056
Fax (855) 204-5244
Business Location
PO BOX 551420
FORT LAUDERDALE FL, 33355-1420, US
Phone (800) 243-3839
Fax (954) 839-2569
Toxanomy
Taxonomy Code 207L00000X
License State Georgia
License Number 67920
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According to our database, Dr. Robert E Black III MD NPI is 1003015728, taxonomy code is 207L00000X and license number is 67920, license state is located at Georgia. Robert E Black III MD physically located at 1000 Medical Center Blvd, Lawrenceville GA, 30046-0000. NPI Number Robert E Black III MD has the Individual type.

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1003015728 NPI number is provided on an as is basis without warranty of any kind. 1003015728 is maintained by the National Plan & Provider Enumeration System. The contents of Robert E Black III MD are for informational purposes only.