Organization · Type 2 NPI
Charles L. Black JR MD Surgical Clinic Corp
Surgery Physician · Shreveport, LA
Practice location
1534 Elizabeth Ave, Suite 202
Shreveport, LA 71101-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | 011576 (LA) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
3 other providers at this address
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About NPI 1952442832
Charles L. Black JR MD Surgical Clinic Corp's National Provider Identifier is 1952442832, issued on Feb 12, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Shreveport, LA. The record was last updated on Sep 14, 2007.