Individual
MRS. GIDGET D. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
3161 HOWELL MILL RD, SUITE 400, ATLANTA, GA 30327
(404) 351-5812
Mailing address
3161 HOWELL MILL RD NW, ATLANTA, GA 30327-2135
(404) 351-5812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN232904
GA
Other
Enumeration date
04/15/2015
Last updated
09/11/2015
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