William J Black in Harriman - Emergency Medicine

William J Black - NPI 1720019284

William J Black is a Emergency Medicine in Harriman, Tennessee. William J Black practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for William J Black is 1720019284. The last update date is 2007-11-16.

William J Black's current location address is 412 Devonia St, Harriman, Tennessee. You can contact this provider via phone number 8658821323 and fax number 8652913228. The mailing address for William J Black is 412 Devonia St, Harriman, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name William J Black
Address 412 Devonia St, Harriman, Tennessee
Phone Number 8658821323
Fax Number 8652913228
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720019284
Provider Enumeration Date 2006-07-05
Last Updated Date 2007-11-16

Provider Mailing Address Detail

Address 412 Devonia St
City Harriman
State Tennessee (TN)
Post Code 3774820090
Phone Number 8658821323
Fax Number 8652913228

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 15791
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00282933 TN RAILROAD MEDICARE
3331539 TN --
4105155 TN BCBS OF TENNESSEE

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FAQs about William J Black

What is the unique 10-digit identification code assigned to William J Black by the Centers for Medicare & Medicaid Services?

The William J Black has been issued the NPI (National Provider Identifier) 1720019284, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the William J Black's physical address?

The William J Black is physically located at 412 Devonia St, in the city of Harriman, TN, with the postal code 3774820090.

What is William J Black's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for William J Black is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.

On what date did the William J Black receive its 1720019284 assignment from the Centers for Medicare & Medicaid Services?

The William J Black was assigned its 1720019284 by the Centers for Medicare & Medicaid Services on 2006-07-05.

When was the information pertaining to William J Black most recently updated or revised?

The details related to William J Black, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-16.

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