# SUSAN BLACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689629735
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 23465 | AL | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 06/29/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000098564 | BLUE CROSS | AL |
| 05 | — | 000098564 | — | AL |
| 01 | — | 000098566 | BLUE CROSS | AL |
| 05 | — | 000098566 | — | AL |
| 01 | — | 000098568 | BLUE CROSS | AL |
| 01 | — | 010033CD81185 | SECTION 1011 | AL |
| 01 | — | 01726551 | MISSISSIPPI MEDICAID | MS |
| 01 | — | 050076491 | RAILROAD MEDICARE | AL |
| 01 | — | D81185 | VIVA | AL |