person
John B Black, MD
Diagnostic Radiology Physician in Riverdale, Georgia
NPI 1548247729

John B Black is a Diagnostic Radiology Physician based in Kennesaw, GA and is specialized in Diagnostic Radiology. John B Black practices in Riverdale, GA and has the professional credentials of MD. The NPI Number for John B Black is 1548247729 and holds a License No. 031702 (Georgia).

The current practice location address for John B Black is 11 Upper Riverdale Rd Sw, Riverdale, GA and can be reached out via phone at 770-991-8000.

Location: 11 Upper Riverdale Rd Sw, Riverdale, GA, 30156-9241
person
Provider Profile Details
NPI Number
1548247729
Provider Name
John B Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11 Upper Riverdale Rd Sw, Riverdale, GA, 30156-9241
Phone Number
770-991-8000
Fax Number
Provider Enumeration Date
12/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000400573 05 GA
institution
Provider Business Practice Location Address Details
Address
11 Upper Riverdale Rd Sw
City
State
Zip
30274-2615
Phone Number
770-991-8000
Fax Number
person
Provider Business Mailing Address Details
Address
11 Upper Riverdale Rd Sw
City
State
Zip
30274-2615
Phone Number
770-991-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
031702 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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