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

DR. CHARLES BLACK, M.D.

Active Sole Proprietor

DR. CHARLES BLACK, M.D. is a General Surgery healthcare provider located in SHREVEPORT, Louisiana. NPI 1992744981 is currently active in the NPPES registry. Verify at CMS.

General Surgery · SHREVEPORT, LA

Registration Details

NPI Number
1992744981
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2006 (20.194335247475 yrs)
Last Updated
Sep 14, 2007
License
L011576 (LA)
Sole Proprietor
Yes

Practice Information

Address
1534 ELIZABETH AVE
SUITE 202
SHREVEPORT, LA, 711014516
Browse LA providers · Browse ZIP 71101
Phone
3186817350
Fax
3186817351
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in SHREVEPORT, LA

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.