BRUCE BLACK, M.D.

Family Medicine

Active Individual
NPI: 1730199290

Practice Address

401 BAPTIST DR
SUITE 104
Madison, MS 39110

Phone: (601) 605-3858

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 18358 (MS)

Frequently Asked Questions

NPI 1730199290 is the National Provider Identifier for BRUCE BLACK, M.D., a Family Medicine provider located in Madison, MS. This NPI was enumerated on August 8, 2006.
BRUCE BLACK, M.D. practices at 401 BAPTIST DR, SUITE 104, Madison, MS 39110.

Quick Facts

NPI
1730199290
Type
Individual
Enumerated
Aug 8, 2006
Last Updated
Feb 12, 2018

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