Organization
POINTE OF CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEKESA MICHELL BLACK FNP-BC (PRESIDENT)
(404) 946-0248
Entity
Organization
Contact information
Practice address
3379 PEACHTREE RD NE, STE. 555, ATLANTA, GA 30326-1031
(404) 946-0248
(404) 946-0249
Mailing address
3379 PEACHTREE RD NE, STE. 555, ATLANTA, GA 30326-1031
(404) 946-0248
(404) 946-0249
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
RN214831
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137494
—
GA
01
—
202G708011
MEDICARE
GA
Enumeration date
12/22/2015
Last updated
02/15/2016
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