Bruce T Black, M.D.
NPI #1730199290 in Madison, Mississippi
Provider Information
- NPI Number
- 1730199290
- Entity Type
- Individual
- Name
- Bruce T Black, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Feb 12, 2018
Practice Location
- Address
- 401 BAPTIST DR
- Address 2
- SUITE 104
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-2009
- Phone
- (601) 605-3858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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