Dr. Andrew C Black, M.D.
Ophthalmology in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1043417751
StatusActive
Last updated in NPPESJul 14, 2009
Details
- NPI
- 1043417751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew C Black
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2007
- Last updated
- Jul 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | MD.203115 | LA | Yes |
| 207W00000X | Ophthalmology | A93573 | CA | |
| 207W00000X | Ophthalmology | 2008-00586 | NC |
Practice location
5220 Flanders DrBaton Rouge, LA 70808-9112
Phone 225-766-3437 · Fax 225-766-3443
Mailing address
5220 Flanders DrBaton Rouge, LA 70808-9112
Phone 225-766-3437 · Fax 225-766-3443
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