Dr. CHARLES LEONARD BLACK -- M.D.
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1962555342- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 7600 GENERAL MOTORS BLVD MEDICAL DEPARTMENT, SHREVEPORT, LA, 711299426
- Phone
- (318) 683-9503
- Fax
- (318) 683-9697
Specialties & Taxonomies
Emergency Medicine
Primary License: LA #015534