Black, Linda S

Black, Linda S is an individual health care provider with primary practice located at 2015 Upper Gate Dr Ne , Atlanta GA 30322-1014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Black, Linda S can be contacted via phone (404) 727-3360.

Contact Information

Primary practice address
2015 Upper Gate Dr Ne Atlanta GA 30322-1014
Fax: (404) 727-3237
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 041079 Georgia

Profile Details

NPI number 1396777991
LBN Legal business name Black, Linda S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396777991 NPPES
Georgia Other 499210 BCBS

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