Black, Casey R.

Black, Casey R. is an individual health care provider with primary practice located at 125 Eagle Spring Dr , Stockbridge GA 30281-6328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Black, Casey R. can be contacted via phone (770) 213-3366.

Contact Information

Primary practice address
125 Eagle Spring Dr Stockbridge GA 30281-6328
Phone: (770) 213-3366
Fax: (404) 962-6943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN146749 Georgia

Profile Details

NPI number 1003151028
LBN Legal business name Black, Casey R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2012
Last updated May 10th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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