| Daniel T Black | |
|
108 Griffith St Sale Creek TN 37373-9715 | |
| (423) 332-1813 | |
| (423) 332-7732 |
| Full Name | Daniel T Black |
|---|---|
| Speciality | Family Medicine |
| Location | 108 Griffith St, Sale Creek, Tennessee |
| Authorized Official Name and Position | Daniel T Black (OWNER) |
| Authorized Official Contact | 4233321813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel T Black Po Box 746 Chattanooga TN 37401-0746 Ph: (423) 332-1813 | Daniel T Black 108 Griffith St Sale Creek TN 37373-9715 Ph: (423) 332-1813 |
| NPI Number | 1245426188 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245426188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sale Creek Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Griffith St, Sale Creek, TN 37373 Phone: 423-332-1813 Fax: 423-332-7732 | |
Sale Creek Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14402 Dayton Pike Ste C, Sale Creek, TN 37373 Phone: 423-498-3560 Fax: 423-498-3563 |