person
Dr. John William Black, MD
Diagnostic Radiology Physician in Charlotte, North Carolina
NPI 1023092095

John William Black is a Diagnostic Radiology Physician based in Charlotte, NC and is specialized in Diagnostic Radiology. John William Black practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for John William Black is 1023092095 and holds a License No. 27821 (North Carolina).

The current practice location address for John William Black is 3623 Latrobe Dr, Charlotte, NC and can be reached out via phone at 704-332-1291 and via fax at 704-332-5206.

Location: 3623 Latrobe Dr, Charlotte, NC, 28222-1249
person
Provider Profile Details
NPI Number
1023092095
Provider Name
John William Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3623 Latrobe Dr, Charlotte, NC, 28222-1249
Phone Number
704-332-1291
Fax Number
704-332-5206
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
891010R 05 NC
institution
Provider Business Practice Location Address Details
Address
3623 Latrobe Dr
City
State
Zip
28211
Phone Number
704-332-1291
Fax Number
704-332-5206
person
Provider Business Mailing Address Details
Address
3623 Latrobe Dr
City
State
Zip
28211
Phone Number
704-332-1291
Fax Number
704-332-5206
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
27821 (South Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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