Tina Marie Black in Gainesville - Pediatrics
Tina Marie Black - NPI 1013087428
Tina Marie Black is a Pediatrics in Gainesville, Georgia. Tina Marie Black practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tina Marie Black is 1013087428. The last update date is 2007-07-09.
Tina Marie Black's current location address is 4502 Summer Gate Ct, Gainesville, Georgia. You can contact this provider via phone number 7703785986 and fax number 7705360346. The mailing address for Tina Marie Black is 4502 Summer Gate Ct, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Marie Black |
|---|---|
| Address | 4502 Summer Gate Ct, Gainesville, Georgia |
| Phone Number | 7703785986 |
| Fax Number | 7705360346 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1013087428 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4502 Summer Gate Ct |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 305064677 |
| Phone Number | 7703785986 |
| Fax Number | 7705360346 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OT003199 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 307327 | GA | WELLCARE | |
| 10038361 | GA | AMERIGROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Tina Marie Black by the Centers for Medicare & Medicaid Services?
The Tina Marie Black has been assigned the NPI (National Provider Identifier) 1013087428. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tina Marie Black?
The Tina Marie Black is physically situated at 4502 Summer Gate Ct, in the city of Gainesville, state of GA, with the postal code 305064677.
What is Tina Marie Black's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tina Marie Black is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 225Xp0200X.
When was the Tina Marie Black's 1013087428 issued?
The Tina Marie Black's 1013087428 was issued on 2006-11-09.
When was the information related to Tina Marie Black most recently updated or refreshed?
The details pertaining to the Tina Marie Black, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
NPI Number: 1215930425
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