Individual
DR. JANET ALICIA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8127 HWY 51 N, MILLINGTON, TN 38053-0753
(901) 872-0042
(901) 872-0442
Mailing address
8127 HWY 51 N, MILLINGTON, TN 38053-0753
(901) 872-0042
(901) 872-0442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7589
TN
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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