Alan S Black MD PC

NPI #1114193919 in Augusta, Georgia

Provider Information

NPI Number: 1114193919
Entity Type: Organization
Organization Name: Alan S Black MD PC
Primary Specialty: Anesthesiology
Enumeration Date: May 2, 2008
Last Updated: May 2, 2008

Practice Location

Address: 2907 LAKE FOREST DR
City: Augusta
State: Georgia
ZIP Code: 30909-3025
Phone: (706) 667-0453

Authorized Official

Name: DR. ALAN SCOTT BLACK, MD
Title: PRESIDENT
Phone: (706) 667-0453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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