Individual
DR. CULLEN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
941 SPRING CREEK RD, CHATTANOOGA, TN 37412-3909
(423) 894-7870
Mailing address
941 SPRING CREEK RD, CHATTANOOGA, TN 37412-3909
(423) 894-7870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0000065115
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
06/07/2022
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