Individual
JANET BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1700 BRIARCLIFF RD NE, ATLANTA, GA 30306-2106
(404) 228-2648
Mailing address
1012 GILBERT ST SE, ATLANTA, GA 30316-2511
(404) 668-6386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN181783
GA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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