Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tangella Black

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497165237

Tangella Black is a Student in an Organized Health Care Education/Training Program in Conyers, Georgia. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

141 Ellis Dr
Conyers, GA 30012-8033
Phone: (407) 401-4764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1497165237
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2014
Last updated in NPPESFebruary 14, 2016
Mailing address141 Ellis Dr, Conyers, GA 30012-8033

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