MARY LEWIS BLACK

AUGUSTA, GA
NPI1780716084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  059094)
Enumeration Date2007-03-12
Last Update Date2018-12-07
Business Address
Dr. MARY LEWIS BLACK MD
1350 WALTON WAY
AUGUSTA, GA 30901-2612
Phone number: 706-414-2737
Mailing Address
Dr. MARY LEWIS BLACK MD
1350 WALTON WAY
AUGUSTA, GA 30901
Phone number: 706-787-7300
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