Black, Judson Gregory
Black, Judson Gregory is an sole proprietor health care provider with primary practice located at 755 Mount Vernon Hwy Ne Ste 430 , Sandy Springs GA 30328-4279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Black, Judson Gregory can be contacted via phone (404) 303-9945.Contact Information
Primary practice address
755 Mount Vernon Hwy Ne Ste 430
Sandy Springs GA 30328-4279
Phone: (404) 303-9945
Fax: (404) 303-8257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 017131 | Georgia |
Profile Details
| NPI number | 1558468728 |
|---|---|
| LBN Legal business name | Black, Judson Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 1st, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558468728 | NPPES |
| Georgia | Other | 58-2532446 | TAX ID |
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