Search › Alabama › 363A00000X
Jeremy Black
NPI 1457034191 · on the registry since 2023
Practice
- Address
- 6517 Cedar Bend Ct
Mobile, AL 36608 - Phone
- (801) 842-1517
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama