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

CHARLES L. BLACK JR MD SURGICAL CLINIC CORP

Active Organization

CHARLES L. BLACK JR MD SURGICAL CLINIC CORP is a General Surgery organization located in SHREVEPORT, Louisiana. NPI 1952442832 is currently active in the NPPES registry. Verify at CMS.

General Surgery · SHREVEPORT, LA

Registration Details

NPI Number
1952442832
Provider Type
Organization
NPI Issued
Feb 12, 2007 (19.527350165415 yrs)
Last Updated
Sep 14, 2007
License
011576 (LA)

Practice Information

Address
1534 ELIZABETH AVE
SUITE 202
SHREVEPORT, LA, 711014516
Browse LA providers · Browse ZIP 71101
Phone
3182210166
Primary Specialty
General Surgery
208600000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.