# JUDSON G BLACK MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588866198
- **Authorized official:** DR. JUDSON G BLACK MD (OWNER)
- **Authorized official phone:** (404) 303-9945

## Contact information

- **Practice address:** 980 JOHNSON FERRY RD NE, SUITE 510, ATLANTA, GA 30342-1626
- **Practice address phone:** (404) 303-9945
- **Mailing address:** 908 JOHNSON FERRY ROAD, SUITE 510, ATLANTA, GA 30342-1626
- **Mailing address phone:** (404) 303-9945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 017131 | GA | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 08/22/2020