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1952515595
BRENTON L BLACK
ATLANTA, GA
NPI
1952515595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 059126)
Enumeration Date
2007-05-10
Last Update Date
2012-10-11
Business Address
Dr. BRENTON L BLACK MD
550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308-2247
Phone number: 404-686-8181
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Mailing Address
Dr. BRENTON L BLACK MD
550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308-2247
Phone number: 404-686-8181
Copy
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