Most Relevant Information
Provider Data
| NPI Number: | 1003811209 |
| Provider Name: | EDWARD BARNWELL BLACK M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 22677 |
Most Important Dates
| Enumeration Date: | 06/15/2005 |
| Last Updated: | 05/28/2014 |
Provider Practice Location
1705 EAST BLVD
CHARLOTTE
NC
282035800
Practice Location Phone/Fax
| Phone: | 7049095960 |
| Fax: | 7047700501 |
Provider Mailing Location
1705 EAST BLVD
CHARLOTTE
NC
282035800
Provider Mailing Phone/Fax
| Phone: | 7049095960 |
| Fax: | 7047700501 |