NPI 1003015728

Robert E Black, MD

Practitioner Anesthesiology Physician Lawrenceville, GA

Practice location

Address: 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000
Phone: (770) 277-3056
Fax: (855) 204-5244
Mailing address: PO Box 551420, Fort Lauderdale, FL 33355-1420

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 067920 (GA)

Other Anesthesiology providers in Georgia →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 67920 (GA)

Registry record

NPI: 1003015728
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2007
Record last updated: 2 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.