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Tosca Luann Black
Health Service Clinic/Center in Hartwell, Georgia
NPI 1467800722

Tosca Luann Black is a Health Service Clinic/Center based in Hartwell, GA and is specialized in Health Service. Tosca Luann Black practices in Hartwell, GA. The NPI Number for Tosca Luann Black is 1467800722 and holds a License No. OPTO988-T (Georgia).

The current practice location address for Tosca Luann Black is 95 N Jackson St, Hartwell, GA and can be reached out via phone at 404-310-7359.

Location: 95 N Jackson St, Hartwell, GA, 30643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467800722
Provider Name
Tosca Luann Black
Credential
Provider Entity Type
Organization
Address
95 N Jackson St, Hartwell, GA, 30643
Phone Number
404-310-7359
Fax Number
Provider Enumeration Date
05/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
95 N Jackson St
City
Hartwell
State
Georgia
Zip
30643-7908
Phone Number
404-310-7359
Fax Number
person
Provider Business Mailing Address Details
Address
95 N Jackson St
City
Hartwell
State
Georgia
Zip
30643-7908
Phone Number
404-310-7359
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
OPTO988-T (Georgia)
Definition
Definition to come...
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