| Dr Robyn Joanne Wirsing Black, MD | |
|
300 W Hospital Rd, Fort Gordon, GA 30905-5741 | |
| (706) 787-5811 | |
| Not Available |
| Full Name | Dr Robyn Joanne Wirsing Black |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 300 W Hospital Rd, Fort Gordon, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861695629 | NPI | - | NPPES |
| 71747 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 71747 (Georgia) | Primary |
| Entity Name | Center For Primary Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316973472 PECOS PAC ID: 4385633247 Enrollment ID: O20040507000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robyn Joanne Wirsing Black, MD 300 W Hospital Rd, Fort Gordon, GA 30905-5741 Ph: (706) 787-5811 | Dr Robyn Joanne Wirsing Black, MD 300 W Hospital Rd, Fort Gordon, GA 30905-5741 Ph: (706) 787-5811 |
Dr. Eric Larson Doane, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Road, Eisenhower Army Medical Center, Attn Credentials, Fort Gordon, GA 30905 Phone: 706-787-2183 Fax: 706-787-0330 | |
Christopher Weston, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 East Hospital Road, Fort Gordon, GA 30905 Phone: 706-787-1647 | |
Dr. Virginia Yates, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 East Hospital Rd, Credentials Coordinator, Fort Gordon, GA 30905 Phone: 706-787-2776 | |
Amayi Maria Bloodsaw, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 301 East Hospital Road, Fort Gordon, GA 30905 Phone: 706-787-9352 | |
Dr. Johnie Stuart Tillman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Attn: Credentials, Fort Gordon, GA 30905 Phone: 706-592-6722 Fax: 706-787-8176 | |
Marvin Dees, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Meb, Fort Gordon, GA 30905 Phone: 706-787-1590 | |
Dr. Charles Gray Haislip, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-5811 |