Individual
KARL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 VALLEY AVE, HOMEWOOD, AL 35209-3342
(205) 381-2683
Mailing address
601 VALLEY AVE, HOMEWOOD, AL 35209-3342
(205) 381-2683
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5300003647709
—
AL
Enumeration date
01/15/2016
Last updated
01/15/2016
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