BARRY G. BLACK

DECATUR, AL
NPI1801853593
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-066229)
Enumeration Date2006-04-27
Last Update Date2007-07-24
Business Address
-- BARRY G. BLACK CRNA
1122 14TH AVE SE
DECATUR, AL 35601-3361
Phone number: 256-560-2890
Mailing Address
-- BARRY G. BLACK CRNA
1900 FLINT RD SE
DECATUR, AL 35601-6031
Phone number: 256-353-0626