Organization
JUDSON G BLACK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDSON G BLACK MD (OWNER)
(404) 303-9945
Entity
Organization
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 510, ATLANTA, GA 30342-1626
(404) 303-9945
Mailing address
908 JOHNSON FERRY ROAD, SUITE 510, ATLANTA, GA 30342-1626
(404) 303-9945
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
017131
GA
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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