Individual
DR. ARTHUR DEWAYNE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2725 ANDREW AVE, PASCAGOULA, MS 39567-1815
(228) 762-3993
(228) 762-3839
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 762-3993
(228) 762-3839
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15591
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118736
—
MS
01
—
210017000
USDOL
MS
Enumeration date
08/16/2005
Last updated
07/10/2014
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