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Dr. Clifford P. Black JR., MD
Specialist in Anniston, Alabama
NPI 1316903396

Clifford P. Black JR. is a Specialist based in Anniston, AL. Clifford P. Black JR. practices in Anniston, AL and has the professional credentials of MD. The NPI Number for Clifford P. Black JR. is 1316903396 and holds a License No. 00014219 (Alabama).

The current practice location address for Clifford P. Black JR. is 1901 Leighton Ave, Anniston, AL and can be reached out via phone at 256-240-9660 and via fax at 256-240-9636.

Location: 1901 Leighton Ave, Anniston, AL, 36207-3270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316903396
Provider Name
Clifford P. Black JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1901 Leighton Ave, Anniston, AL, 36207-3270
Phone Number
256-240-9660
Fax Number
256-240-9636
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051044834 01 AL BLUE CROSS BLUE SHIELD
000044834 05 AL
institution
Provider Business Practice Location Address Details
Address
1901 Leighton Ave
City
Anniston
State
Alabama
Zip
36207-3270
Phone Number
256-240-9660
Fax Number
256-240-9636
person
Provider Business Mailing Address Details
Address
1901 Leighton Ave
City
Anniston
State
Alabama
Zip
36207-3270
Phone Number
256-240-9660
Fax Number
256-240-9636
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
00014219 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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