NPI Index

MR. TREVOR BLACK, D.P.M.

Podiatrist - Foot & Ankle Surgery

Active Individual
NPI: 1861835308

Practice Address

20 GLENLAKE PKWY
KAISER PERMANENTE GLENLAKE MEDICAL CENTER
Atlanta, GA 30328

Phone: (818) 326-1058

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Podiatrist - Foot & Ankle Surgery 213ES0103X Yes POD001289 (GA)

Frequently Asked Questions

NPI 1861835308 is the National Provider Identifier for MR. TREVOR BLACK, D.P.M., a Podiatrist - Foot & Ankle Surgery provider located in Atlanta, GA. This NPI was enumerated on April 15, 2013.
MR. TREVOR BLACK, D.P.M. practices at 20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, Atlanta, GA 30328.

Quick Facts

NPI
1861835308
Type
Individual
Enumerated
Apr 15, 2013
Last Updated
Jan 10, 2022

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