Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL T BLACK, DO
Active Sole ProprietorDANIEL T BLACK, DO is a Family Medicine healthcare provider located in SALE CREEK, Tennessee. NPI 1194726604 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SALE CREEK, TN
Registration Details
- NPI Number
- 1194726604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (21.005719816297 yrs)
- Last Updated
- Sep 12, 2007
- License
-
DO1671 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
108 GRIFFITH STSALE CREEK, TN, 373739715Browse TN providers · Browse ZIP 37373
- Phone
- 4233321813
- Fax
- 4233327732
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.