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Tangella Black
NPI 1497165237 · on the registry since 2014
Practice
- Address
- 141 Ellis Dr
Conyers, GA 30012 - Phone
- (407) 401-4764
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Female
- Record last updated
- 2016-02-14
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