License holder summary

BLACK, CLYDE E, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BLACK, CLYDE E, MD is 425 EAST 10TH STREET | SUITE B, ANNISTON 36207. This doctor license is not current. The license was granted 07/23/1971 and expired on 12/31/2003.

Georgia

Composite Medical Board

BLACK, CLYDE E, MD
Medical - Physician
License number
013837
Date granted
07/23/1971
Date expires
12/31/2003
Class
Medical - Physician
Status
Lapsed
Address
425 EAST 10TH STREET | SUITE B
georgiadoctors.net
ID 38028828
LAST UPDATED 2024-03-11 18:25:53 UTC

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