Individual
DANIEL T BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
108 GRIFFITH ST, SALE CREEK, TN 37373-9715
(423) 332-1813
(423) 332-7732
Mailing address
PO BOX 667, 108 GRIFFITH ST, SALE CREEK, TN 37373-0667
(423) 332-1813
(423) 332-7732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1671
TN
Other
Enumeration date
08/09/2005
Last updated
09/12/2007
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