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1780716084
MARY LEWIS BLACK
AUGUSTA, GA
NPI
1780716084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 059094)
Enumeration Date
2007-03-12
Last Update Date
2018-12-07
Business Address
Dr. MARY LEWIS BLACK MD
1350 WALTON WAY
AUGUSTA, GA 30901-2612
Phone number: 706-414-2737
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Mailing Address
Dr. MARY LEWIS BLACK MD
1350 WALTON WAY
AUGUSTA, GA 30901
Phone number: 706-787-7300
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