JOHN B BLACK

RIVERDALE, GA
NPI1548247729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: GA  031702)
Enumeration Date2005-12-28
Last Update Date2012-07-18
Business Address
-- JOHN B BLACK MD
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2615
Phone number: 770-991-8000
Mailing Address
-- JOHN B BLACK MD
PO BOX 100041
KENNESAW, GA 30156-9241
Phone number: 770-779-2178