JOHN BLACK

UNIVERSITY, MS
NPI1609984376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MS  16279)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TN  M0014343)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
Dr. JOHN BLACK M.D.
V. B. HARRISON STUDENT HEALTH REBEL DRIVE
UNIVERSITY, MS 38677
Phone number: 662-915-7274
Mailing Address
Dr. JOHN BLACK M.D.
V. B. HARRISON STUDENT HEALTH P.O. BOX 1848
UNIVERSITY, MS 38677
Phone number: 662-915-7274