Individual provider · Type 1 NPI

Mary Lewis Black, MD

Pediatrics Physician · Fort Gordon, GA

NPI number 1780716084 Active

Practice location

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Call (706) 787-7300 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X059094 (GA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1780716084

Mary Lewis Black, MD's National Provider Identifier is 1780716084, issued on Mar 12, 2007. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Fort Gordon, GA. The record was last updated on Nov 17, 2025.