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:
Health care specialties
| Specialty | Code | License # | 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 8 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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