Individual
LINDA S BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2015 UPPER GATE DR NE, ATLANTA, GA 30322-1014
(404) 727-3360
(404) 727-3237
Mailing address
2015 UPPERGATE DR, ATLANTA, GA 30322
(404) 727-3360
(404) 727-3237
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
041079
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
499210
BCBS
GA
Enumeration date
07/06/2006
Last updated
07/08/2007
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