ROBERT BLACK — Medicare Enrolled Provider (PRACTITIONER - ANESTHESIOLOGY, GA)
ROBERT BLACK — Medicare Enrolled Provider (PRACTITIONER - ANESTHESIOLOGY, GA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: ROBERT BLACK; Type: Individual; NPI: 1003015728.
| Name | ROBERT BLACK |
|---|---|
| Type | Individual |
| NPI | 1003015728 |
| Provider type | PRACTITIONER - ANESTHESIOLOGY |
| State | GA |
| Enrollment ID | I20120810000445 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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