Randall L Black is a Psychiatry in Tullahoma, Tennessee. Randall L Black practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Randall L Black is 1215017850. The last update date is 2007-07-08.
Randall L Black's current location address is 1805 N Jackson, Tullahoma, Tennessee. You can contact this provider via phone number 9314559009 and fax number 9314556693. The mailing address for Randall L Black is 1805 N Jackson, Tullahoma, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall L Black |
|---|---|
| Address | 1805 N Jackson, Tullahoma, Tennessee |
| Phone Number | 9314559009 |
| Fax Number | 9314556693 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215017850 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1805 N Jackson |
|---|---|
| City | Tullahoma |
| State | Tennessee (TN) |
| Post Code | 37388 |
| Phone Number | 9314559009 |
| Fax Number | 9314556693 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD25263 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3082256 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Randall L Black by the Centers for Medicare & Medicaid Services?
The Randall L Black has been assigned the NPI (National Provider Identifier) 1215017850 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Randall L Black's facilities are situated?
The facilities of Randall L Black are physically located at the following address: 1805 N Jackson, Tullahoma, TN, 37388.
What is Randall L Black's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall L Black's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did the Randall L Black receive the assignment of its 1215017850 from the Centers for Medicare & Medicaid Services?
The Randall L Black was issued its 1215017850 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date was the information pertaining to Randall L Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randall L Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.