Individual
DR. TYLER PAUL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-3491
Mailing address
120 PINE TREE DR, DOTHAN, AL 36303-3029
(334) 714-4850
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33244
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
06/03/2017
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