Black, James Durward

Black, James Durward is an sole proprietor health care provider with primary practice located at 300 Courtyard Dr. Suite B, Cartersville GA 30120-8535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Black, James Durward can be contacted via phone (770) 386-1076.

Contact Information

Primary practice address
300 Courtyard Dr. Suite B Cartersville GA 30120-8535
Phone: (770) 386-1076
Fax: (770) 606-0452
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 28379 Georgia
Allopathic & Osteopathic Physicians / Urology 208800000X 036.164834 Illinois

Profile Details

NPI number 1942304423
LBN Legal business name Black, James Durward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2006
Last updated Feb 20th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942304423 NPPES
Georgia Other 581660430 TAX ID
Georgia MEDICAID 000320889B TAX ID

Popular Providers