Black, Moira
Black, Moira is an individual health care provider with primary practice located at 1001 Johnson Fy Rd Ne , Atlanta GA 30342-1605. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Black, Moira can be contacted via phone (404) 785-5437.Contact Information
Primary practice address
1001 Johnson Fy Rd Ne
Atlanta GA 30342-1605
Phone: (404) 785-5437
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 96593 | Georgia |
Profile Details
NPI number | 1457883837 |
---|---|
LBN Legal business name | Black, Moira |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2017 |
Last updated | Aug 14th, 2023 - about 2 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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