Organization

Judson G Black Md Llc

Endocrinology, Diabetes & Metabolism Physician in Atlanta, GA(View on Map)

Legal Business Name

Judson G Black Md Llc

NPI Number

1588866198

NPI Type

Organization

Enumeration Date

06/05/2007

Specialties

(Taxonomies)

Code

207RE0101X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

017131

Contact
Information

Purpose

Mailing
Location

Address

908 JOHNSON FERRY ROAD
980 JOHNSON FERRY RD NE

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30342-1626
30342-1626

Country

US
US

Telephone Number

(404) 303-9945
(404) 303-9945

Authorized Official

Name

Dr. Judson Black

Title or Position

OWNER

Telephone Number

(404) 303-9945

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address

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Organization

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Organization

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Organization

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Organization

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