NPI 1003811209 · live from the CMS NPI Registry
Edward Barnwell Black, M.D.
Radiology, Diagnostic Radiology in Charlotte, NC. National Provider Identifier 1003811209, active.
NPI record
| NPI | 1003811209 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1705 East Blvd, Charlotte, NC 28203 |
| Practice phone | 704-909-5960 |
| Enumerated | June 15, 2005 |
| Last updated | May 28, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 22677 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.