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Individual

DR. WILLIAM R BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
19313
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15968
BC/BS
NC
01
408113860
RRMEDICARE
NC
05
8915968
NC
Enumeration date
07/08/2005
Last updated
01/19/2010
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