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Organization
DANIEL T BLACK
Active
Organization
DANIEL T BLACK
Active
Other names
SALE CREEK FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL T BLACK MD (OWNER)
(423) 332-1813
Entity
Organization
Contact information
Practice address
108 GRIFFITH ST, SALE CREEK, TN 37373-9715
(423) 332-1813
(423) 332-7732
Mailing address
PO BOX 746, CHATTANOOGA, TN 37401-0746
(423) 332-1813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
06/20/2008
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