Individual
CAROL C BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
705 PROFESSIONAL PLAZA DR, SUITE 3, GREENEVILLE, TN 37745-5196
(423) 638-4158
(423) 638-4158
Mailing address
705 PROFESSIONAL PLAZA DR, SUITE 3, GREENEVILLE, TN 37745-5196
(423) 638-4158
(423) 638-4158
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
515
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184409
BLUE CROSS BLUE SHIELD TENNESSEE
TN
Enumeration date
06/19/2008
Last updated
06/19/2008
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