Individual
DR. WILLIAM R BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 W HENDERSON ST, SALISBURY, NC 28144-2725
(704) 636-5542
(704) 636-5142
Mailing address
825 W HENDERSON ST, SALISBURY, NC 28144-2725
(704) 636-5542
(704) 636-5142
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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