person
James Edward Black III, MD
Student in an Organized Health Care Education/Training Program in Norfolk, Virginia
NPI 1952151193

James Edward Black III is a Student in an Organized Health Care Education/Training Program based in Norfolk, VA. James Edward Black III practices in Norfolk, VA and has the professional credentials of MD. The NPI Number for James Edward Black III is 1952151193 and holds a License No. (Virginia).

The current practice location address for James Edward Black III is 825 Fairfax Ave, Norfolk, VA and can be reached out via phone at 757-446-5955.

Location: 825 Fairfax Ave, Norfolk, VA, 23507-1912
person
Provider Profile Details
NPI Number
1952151193
Provider Name
James Edward Black III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
825 Fairfax Ave, Norfolk, VA, 23507-1912
Phone Number
757-446-5955
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
825 Fairfax Ave
City
State
Zip
23507-1912
Phone Number
757-446-5955
Fax Number
person
Provider Business Mailing Address Details
Address
825 Fairfax Ave
City
State
Zip
23507-1912
Phone Number
757-446-5955
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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