HomeNPI Verification

NPI Verification

National Provider Identifier: 1225079825

John Larry Black, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (3)

Internal Medicine

Code: 207R00000X

Internal Medicine

Code: 207R00000X

Primary

Emergency Medicine

Code: 207P00000X

Practice Address

4364 HWY 51 SOUTH

SENATOBIA, MS 386682534

NPI Enumeration Date

June 8, 2006

NPI Number

1225079825

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry