CHARLES HENRY BLACK

SONORA, CA
NPI1790988087
Professional NameCHARLES HENRY BLACK
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MS  23113)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: CA  20A24530)
207X00000X Orthopaedic Surgery
(Licence: MI  5101016776)
Enumeration Date2007-06-06
Last Update Date2026-01-12
Business Address
Dr. CHARLES HENRY BLACK D.O.
1000 GREENLEY RD
SONORA, CA 95370-5200
Phone number: 209-536-5054
Mailing Address
Dr. CHARLES HENRY BLACK D.O.
PO BOX 247
LAUREL, MS 39441-0247
Phone number: 601-649-5990