Search › Georgia › 2084N0402X
Moira Black, MD
NPI 1457883837 · on the registry since 2017
Practice
- Address
- 1001 Johnson Fy Rd Ne
Atlanta, GA 30342 - Phone
- (404) 785-5437
- Organisation at this address
- Premise Health Of Georgia Medical Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 197
Additional practice sites
- 1400 Tullie Rd Ne, Atlanta, GA
Registry record
- Primary taxonomy
- 2084N0402X
2084N0402X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia