Individual
DR. THEODORE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75583
TN
207L00000X
Anesthesiology Physician
8765
NE
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
75583
TN
Other
Enumeration date
06/09/2020
Last updated
12/19/2025
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