NPI 1679868103

Robert Black

Practitioner Other Technician Chattanooga, TN

Practice location

Address: 5959 Shallowford Rd Suite 443, Chattanooga, TN 37421-2285
Phone: (423) 756-2268
Fax: (423) 266-9690
Mailing address: 7715 Mainland Dr Suite 108, San Antonio, TX 78250-6007

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Tennessee →

Registry record

NPI: 1679868103
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2011
Record last updated: 13 Jun 2011

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.