Individual
DR. MONICA LEE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4741 N BROADWAY ST, KNOXVILLE, TN 37918-1793
(865) 687-1940
(865) 687-0157
Mailing address
4741 N BROADWAY ST, KNOXVILLE, TN 37918-1793
(865) 687-1940
(865) 687-0157
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD17892
TN
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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