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

DR. MARY LEWIS BLACK, MD

Active

DR. MARY LEWIS BLACK, MD is a Pediatrics healthcare provider located in FORT GORDON, Georgia. NPI 1780716084 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · FORT GORDON, GA

Registration Details

NPI Number
1780716084
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2007 (19.468560175889 yrs)
Last Updated
Nov 17, 2025
License
059094 (GA)

Practice Information

Address
300 W HOSPITAL RD
FORT GORDON, GA, 309055741
Browse GA providers · Browse ZIP 30905
Phone
7067877300
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in FORT GORDON, GA

Name Credential NPI
JAMES H MCCRORY MD 1255311015
DR. AMRUTHA NATARAJ M.D 1770674178
DR. MARK STEPHEN CRAIG 1891876173
DR. URMILA KOSURI M.D 1467502385
DR. SHARON LYNNE CODY GREER D.O. 1124350277
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.