Dr. Robert E Black III
Anesthesiologist
1000 Medical Center Blvd
Lawrenceville
, Georgia 30046-0000
Dr. Robert E Black III
Anesthesiologist
1000 Medical Center Blvd
Lawrenceville
, Georgia 30046-0000
(954) 839-2569
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Robert E Black III
- Po Box 551420
- Fort Lauderdale, FL
- Zip : 33355-1420
- Fax : (954) 839-2569
- Phone : (800) 243-3839
Second Address
- Dr. Robert E Black III
- 1000 Medical Center Blvd
- Lawrenceville, GA
- Zip : 30046-0000
- Fax : (855) 204-5244
- Phone : (770) 277-3056
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 067920 | GA |
| N | 207L00000X | Anesthesiologist | 67920 | GA |
National Provider Identifier
| NPI | 1003015728 |
|---|---|
| Provider Name | Dr. Robert E Black III |
| First Address | Fort Lauderdale, FL 33355-1420 |
| Second Address | Lawrenceville, GA 30046-0000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2007 |
| Last Update Date | 02/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003126898A | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.