Wiley S Black, MD

NPI #1386821007 in Gainesville, Georgia

Provider Information

NPI Number: 1386821007
Entity Type: Individual
Name: Wiley S Black, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jan 24, 2008
Last Updated: Jan 24, 2008

Practice Location

Address: 2626 PARKER TRL
City: Gainesville
State: Georgia
ZIP Code: 30506-1800
Phone: (770) 532-8608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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