Mr Randall L Black, MD | |
1805 N Jackson, Suite 4, Tullahoma, TN 37388 | |
(931) 455-9009 | |
(931) 455-6693 |
Full Name | Mr Randall L Black |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1805 N Jackson, Tullahoma, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215017850 | NPI | - | NPPES |
3082256 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD25263 (Tennessee) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | G24787 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Randall L Black, MD 1805 N Jackson, Ste 4, Tullahoma, TN 37388 Ph: (931) 455-9009 | Mr Randall L Black, MD 1805 N Jackson, Suite 4, Tullahoma, TN 37388 Ph: (931) 455-9009 |
Dr. David T Holmes, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 107 E Grundy St, Tullahoma, TN 37388 Phone: 931-455-2616 Fax: 931-455-2280 | |
Dr. Allen R Craig, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 107 E Grundy St, Tullahoma, TN 37388 Phone: 931-455-2616 Fax: 931-455-2280 | |
Dr. Sandip R Shukla, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 107 E Grundy St, Tullahoma, TN 37388 Phone: 931-455-2616 Fax: 931-455-2280 |