Individual
CAITLIN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
631 RB WILSON DR, HUNTINGDON, TN 38344-1727
(731) 986-4461
Mailing address
910 MADISON AVE FL 2, MEMPHIS, TN 38103-3403
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
75393
TN
207R00000X
Internal Medicine Physician
Primary
75393
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
02/20/2026
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