Tosca Luann Black

NPI #1467800722 in Hartwell, Georgia

Provider Information

NPI Number
1467800722
Entity Type
Organization
Organization Name
Tosca Luann Black
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
May 27, 2016
Last Updated
May 27, 2016

Practice Location

Address
95 N JACKSON ST
State
Georgia
ZIP Code
30643-7908
Phone
(404) 310-7359

Authorized Official

Name
MS. TOSCA LUANN BLACK
Title
OWNER
Phone
(404) 310-7359

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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