Dr DANIEL TIMOTHY BLACK DO is a male medical professional, specializing in Family Medicine. He graduated in 2002 from West Virginia School Of Osteopathic Medicine.
108 GRIFFITH ST
SALE CREEK
TN
373739715
Tel:
| Npi | 1194726604 |
| Pac Id | 4183675556 |
| Professional Enrollment Id | I20050718000038 |
| Last Name | BLACK |
| First Name | DANIEL |
| Middle Name | TIMOTHY |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 108 GRIFFITH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SALE CREEK |
| State | TN |
| Zip Code | 373739715 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 441310 |
| Hospital Affiliation Lbn 1 | RHEA MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 440091 |
| Hospital Affiliation Lbn 2 | MEMORIAL HEALTHCARE SYSTEM, INC |
| Hospital Affiliation Ccn 3 | 440185 |
| Hospital Affiliation Lbn 3 | TENNOVA HEALTH CARE-CLEVELAND |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.