KATHERINE BLACK

MACON, GA
NPI1881056646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: GA  92412)
Additional Taxonomies208000000X Pediatrics
(Licence: GA  92412)
208000000X Pediatrics
(Licence: TN  59619)
Enumeration Date2016-03-22
Last Update Date2024-03-29
Business Address
KATHERINE BLACK MD
1062 FORSYTH ST STE 2E
MACON, GA 31201-8631
Phone number: 478-633-7330
Mailing Address
KATHERINE BLACK MD
1062 FORSYTH ST STE 2E
MACON, GA 31201-8631
Phone number: 478-633-7330