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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY CHASE BLACK, M.D.

Active Sole Proprietor

GARY CHASE BLACK, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in DAYTON, Tennessee. NPI 1700149648 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · DAYTON, TN

Registration Details

NPI Number
1700149648
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2012 (14.201924618487 yrs)
Last Updated
Jun 1, 2018
Licenses
LL34886 (SC)
55829 (TN)
Sole Proprietor
Yes

Practice Information

Address
9400 RHEA COUNTY HWY
DAYTON, TN, 37321
Browse TN providers · Browse ZIP 37321
Phone
4232855220
Fax
4232855506
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X
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.