Organization
EMPOWER FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA P BLACK MD (OWNER)
(404) 295-6251
Entity
Organization
Contact information
Practice address
209 SWANTON WAY, SUITE 101, DECATUR, GA 30030-3274
(404) 981-6278
(888) 213-8479
Mailing address
115 ANSLEY ST, DECATUR, GA 30030-5211
(404) 295-6251
(888) 213-8479
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
15074174
GA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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