Individual
DAMON A. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 N BROAD ST NE, SUITE 220, ROME, GA 30161-5207
(706) 291-2077
(706) 235-4177
Mailing address
PO BOX 369, ROME, GA 30162-0369
(706) 291-2077
(706) 235-4177
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
056409
GA
2085N0700X
Neuroradiology Physician
056409
GA
2085P0229X
Pediatric Radiology Physician
056409
GA
2085R0202X
Diagnostic Radiology Physician
Primary
056409
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649332244A
—
GA
01
—
923350
BCBS OF GEORGIA
GA
Enumeration date
06/14/2006
Last updated
07/23/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us