Most Relevant Information
Provider Data
| NPI Number: | 1003015728 |
| Provider Name: | ROBERT E BLACK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 67920 |
Most Important Dates
| Enumeration Date: | 07/12/2007 |
| Last Updated: | 04/02/2014 |
Provider Practice Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE
GA
300460000
Practice Location Phone/Fax
| Phone: | 7702773056 |
| Fax: | 8552045244 |
Provider Mailing Location
PO BOX 551420
FORT LAUDERDALE
FL
333551420
Provider Mailing Phone/Fax
| Phone: | 8002433839 |
| Fax: | 9548392569 |