Individual
WILLIAM GEYMAN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15748 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 542-0663
(985) 542-7010
Mailing address
PO BOX 1908, HAMMOND, LA 70404-1908
(985) 542-0663
(985) 542-7010
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
L012623
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1187283
—
LA
Enumeration date
05/24/2005
Last updated
07/08/2007
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