Organization · Type 2 NPI
Tosca Luann Black
Health Service Clinic/Center · Hartwell, GA
NPI number
1467800722
Active
Practice location
95 N Jackson St
Hartwell, GA 30643-7908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | OPTO988-T (GA) |
Health Service Clinic/Center: Definition to come...
About NPI 1467800722
Tosca Luann Black's National Provider Identifier is 1467800722, issued on May 27, 2016. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Hartwell, GA. The record was last updated on May 27, 2016.