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Tangella Black
Student in an Organized Health Care Education/Training Program in Conyers, Georgia
NPI 1497165237

Tangella Black is a Student in an Organized Health Care Education/Training Program based in Conyers, GA. Tangella Black practices in Conyers, GA. The NPI Number for Tangella Black is 1497165237 and holds a License No. (Georgia).

The current practice location address for Tangella Black is 141 Ellis Dr, Conyers, GA and can be reached out via phone at 407-401-4764.

Location: 141 Ellis Dr, Conyers, GA, 30012-8033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497165237
Provider Name
Tangella Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
141 Ellis Dr, Conyers, GA, 30012-8033
Phone Number
407-401-4764
Fax Number
Provider Enumeration Date
05/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
141 Ellis Dr
City
Conyers
State
Georgia
Zip
30012-8033
Phone Number
407-401-4764
Fax Number
person
Provider Business Mailing Address Details
Address
141 Ellis Dr
City
Conyers
State
Georgia
Zip
30012-8033
Phone Number
407-401-4764
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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