Provider Demographics
NPI:1184600314
Name:BLACK, JAMES FRANKLIN (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANKLIN
Last Name:BLACK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W MEDICAL PARK DR., SUITE B
Mailing Address - Street 2:WFUHS - LEXMEDICAL GYN CARE
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-6845
Mailing Address - Country:US
Mailing Address - Phone:336-243-3034
Mailing Address - Fax:336-243-7098
Practice Address - Street 1:106 W MEDICAL PARK DR
Practice Address - Street 2:SUITE B
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6853
Practice Address - Country:US
Practice Address - Phone:336-243-3034
Practice Address - Fax:336-243-7098
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20769174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8915864Medicaid
NCC82295Medicare UPIN
NC8915864Medicaid