Individual
DR. MELISSA PHILLIPS BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 728-6363
(404) 728-6298
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 728-6363
(404) 728-6298
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
056266
GA
Other
Enumeration date
04/12/2007
Last updated
07/05/2012
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