CHARLES BLACK

SHREVEPORT, LA
NPI1992744981
Professional NameCHARLES BLACK
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: LA  L011576)
Enumeration Date2006-06-05
Last Update Date2007-09-14
Business Address
DR. CHARLES BLACK M.D.
1534 ELIZABETH AVE SUITE 202
SHREVEPORT, LA 71101-4516
Phone number: 318-681-7350
Mailing Address
DR. CHARLES BLACK M.D.
1534 ELIZABETH AVE SUITE 202
SHREVEPORT, LA 71101-4516
Phone number: 318-681-7350
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