| NPI | 1073620654 |
|---|---|
| Doing Business As | MARY BLACK MATERNAL-FETAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director Of Provider Enrollment 615-465-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-08-14 |