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1801234018
JONATHAN ANDREW BLACK
BIRMINGHAM, AL
NPI
1801234018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0127X Surgery, Trauma Surgery
(Licence: AL 36874)
Enumeration Date
2013-06-10
Last Update Date
2023-06-28
Business Address
JONATHAN ANDREW BLACK MD
701 19TH ST S 112 LYONS HARRISON RESEARCH BUILDING
BIRMINGHAM, AL 35294-7050
Phone number: 059-340-1672
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Mailing Address
JONATHAN ANDREW BLACK MD
701 19TH ST S
BIRMINGHAM, AL 35233-1926
Phone number: 205-934-0167
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