CASEY R. BLACK

STOCKBRIDGE, GA
NPI1003151028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN146749)
Enumeration Date2012-12-03
Last Update Date2017-05-10
Business Address
-- CASEY R. BLACK NP
125 EAGLE SPRING DR
STOCKBRIDGE, GA 30281-6328
Phone number: 770-213-3366
Mailing Address
-- CASEY R. BLACK NP
125 EAGLE SPRING DR
STOCKBRIDGE, GA 30281-6328
Phone number: 770-213-3366
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