NPI 1023092095

John William Black, MD

Practitioner Diagnostic Radiology Physician Charlotte, NC

Practice location

Address: 3623 Latrobe Dr Suite 216, Charlotte, NC 28211
Phone: (704) 332-1291
Fax: (704) 332-5206
Mailing address: PO Box 221249, Charlotte, NC 28222-1249

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 96-01000 (NC)

Other Radiology providers in North Carolina →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 27821 (SC)

Registry record

NPI: 1023092095
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2005
Record last updated: 13 Sep 2020

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.