Doctor Name: | EDWARD BARNWELL BLACK |
NPI Number: | 1003811209 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 22677 |
Business Practice Address: | 1705 East Blvd Charlotte, NC - 282035800 |
Business Phone Number: | 7049095960 |
Business Fax Number: | 7047700501 |
Mailing Address: | 1705 East Blvd, CHARLOTTE |
State: | NC |
Postal Code: | 282035800 |
Phone Number: | 7049095960 |
Fax Number: | 7047700501 |
NPI Enumeration Date: | 06/15/2005 |
NPI Last Update Date: | 05/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 22677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |