Black Swan Enterprises

Specialty details in registry · Atlanta, GA

Call (404) 832-0604 Directions

At a glance

2801 Buford Hwy Ne, Atlanta, GA 30329-2149

NPPES record updated Jun 12, 2014. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

2801 Buford Hwy Ne Ste 501
Atlanta, GA 30329-2149
Professional details: NPI, taxonomy & registry record
NPI1033556659
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
101YP2500X
Enumeration date
May 23, 2013
Record updated
Jun 12, 2014
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YP2500X · Primary

License reported: LPC007304 GA

Specialty details in registry

251S00000X

License reported: LPC007304 GA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2801 Buford Hwy Ne
Ste 501
Atlanta, GA 30329-2149
Phone
(404) 832-0604
Mailing address
1313 OAK ST SW

ATLANTA, GA 303101653
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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