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Trevor Black, D.P.M
NPI 1861835308 · on the registry since 2013
Practice
- Address
- 20 Glenlake Pkwy
Kaiser Permanente Glenlake Medical Center
Atlanta, GA 30328 - Phone
- (818) 326-1058
- Organisation at this address
- Kaiser Foundation Health Plan Of Georgia, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 117
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-10
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