person
Mr. Trevor Elan Black, DPM
Foot & Ankle Surgery Podiatrist in Atlanta, Georgia
NPI 1861835308

Trevor Elan Black is a Foot & Ankle Surgery Podiatrist based in Atlanta, GA and is specialized in Foot & Ankle Surgery. Trevor Elan Black practices in Atlanta, GA and has the professional credentials of DPM. The NPI Number for Trevor Elan Black is 1861835308 and holds a License No. (Georgia).

The current practice location address for Trevor Elan Black is 20 Glenlake Pkwy, Atlanta, GA and can be reached out via phone at 818-326-1058.

Location: 20 Glenlake Pkwy, Atlanta, GA, 30305-1717
person
Provider Profile Details
NPI Number
1861835308
Provider Name
Trevor Elan Black
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
20 Glenlake Pkwy, Atlanta, GA, 30305-1717
Phone Number
818-326-1058
Fax Number
Provider Enumeration Date
04/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 Glenlake Pkwy
City
State
Zip
30328-3473
Phone Number
818-326-1058
Fax Number
person
Provider Business Mailing Address Details
Address
20 Glenlake Pkwy
City
State
Zip
30328-3473
Phone Number
818-326-1058
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD001289 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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