Robert J Black, OD

NPI #1003828534 in Charleston, South Carolina

Provider Information

NPI Number: 1003828534
Entity Type: Individual
Name: Robert J Black, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 171 ASHLEY AVE
City: Charleston
State: South Carolina
ZIP Code: 29425-0001
Phone: (843) 792-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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