License holder summary

BLACK, DANIEL TIMOTHY, DO is a Medical - Physician licensed to practice in Georgia. The address on file for BLACK, DANIEL TIMOTHY, DO is 304 SHORTER AVE | SUITE 201, Rome 30161. This doctor license is not current. The license was granted 08/08/2003 and expired on 12/31/2005.

Georgia

Composite Medical Board

BLACK, DANIEL TIMOTHY, DO
Medical - Physician
License number
053589
Date granted
08/08/2003
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
304 SHORTER AVE | SUITE 201
georgiadoctors.net
ID 38028831
LAST UPDATED 2026-04-07 23:14:28 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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