Randall L Black (NPI# 1215017850, PAC ID# 4789841578) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1215017850 |
| PAC ID by PECOS | 4789841578 |
| Professional Enrollment ID | I20120207000142 |
| Full Name | Randall L Black |
| Address |
1805 N Jackson St Tullahoma TN 37388-2275 |
| Phone Number | 9314559009 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1805 N Jackson St, Tullahoma, TN 37388-2275 | 9314559009 | |
| 1805 N Jackson St, Suite 4, Tullahoma, TN 37388-2275 | 9314559009 |
| Street Address |
1805 N JACKSON ST |
| City | TULLAHOMA |
| State | TN |
| Zip | 37388-2275 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Crater | Internal Medicine | Harton Clinic Company LLC | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 |
| Robert H Nichols Jr. | Internal Medicine | Harton Clinic Company LLC | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 |
| Stephen H Bills | Internal Medicine | Harton Clinic Company LLC | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 |
| Collin Bills | Orthopedic Surgery | Harton Clinic Company LLC | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 |
| Katherine Gilliland | Nurse Practitioner | Harton Clinic Company LLC | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 |
| Celio F Pou | Obstetrics/gynecology | Today's Woman PC | 1805 N Jackson St, Suite 300, Tullahoma, TN 37388-2293 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett L Ferrell | Family Medicine | 100 William N Blvd, Tullahoma, TN 37388 | |
| Jonathan M Garrison | Clinical Psychologist | 111133 Tullahoma Hwy, Tullahoma, TN 37388 | |
| Mark Roddy Russell | Diagnostic Radiology | Medical Imaging Consultants, PC | 1801 N Jackson St, Tullahoma, TN 37388-2201 |
| Robert M Bell | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
| Matthew D Murphey | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
| Brady Palmer | Optometry | 2111 N Jackson St, Tullahoma, TN 37388-2207 | |
| Heather C Bohannon Iyama | Nurse Practitioner | 2120 N Jackson St, Tullahoma, TN 37388-2208 | |
| Jennifer A Shetters | Nurse Practitioner | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
| William B Bradford | Radiation Oncology | 2114 N Jackson St, Tullahoma, TN 37388-2208 | |
| Richard C Cole | Family Medicine | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
| Find all physicians in zip 37388 | |||
| City | TULLAHOMA |
| Zip Code | 37388 |
| Specialty | PSYCHIATRY |
| City + Specialty | TULLAHOMA + PSYCHIATRY |
Please comment or provide details below to improve the information on Randall L Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.