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1154432623
MARIA BLACK RIVERS
AUGUSTA, GA
NPI
1154432623
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Former Name
MARIA MYERS BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 23907)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. MARIA BLACK RIVERS M.D.
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-823-2216
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Mailing Address
Dr. MARIA BLACK RIVERS M.D.
3524 LAKESTONE CT
MARTINEZ, GA 30907-8977
Phone number: 706-854-0883
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