Dr John Larry Black, MD | |
4364 Hwy 51 South, Senatobia, MS 38668-2534 | |
(662) 562-6026 | |
Not Available |
Full Name | Dr John Larry Black |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 4364 Hwy 51 South, Senatobia, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225079825 | NPI | - | NPPES |
4047712 | Medicaid | TN | |
09015649 | Medicaid | MS | |
P00396797 | Other | MS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11410 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 8543 (Mississippi) | Primary |
207P00000X | Emergency Medicine | 8543 (Mississippi) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr John Larry Black, MD 4364 Hwy 51 South, Senatobia, MS 38668-2534 Ph: () - | Dr John Larry Black, MD 4364 Hwy 51 South, Senatobia, MS 38668-2534 Ph: (662) 562-6026 |
Kamlesh Parekh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E Main Street Plz, Senatobia, MS 38668 Phone: 662-562-8278 Fax: 662-562-8279 |