Casey R. Black
Nurse Practitioner
125 Eagle Spring Dr
Stockbridge
, Georgia 30281-6328
Casey R. Black
Nurse Practitioner
125 Eagle Spring Dr
Stockbridge
, Georgia 30281-6328
(404) 962-6943
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Casey R. Black
- 125 Eagle Spring Dr
- Stockbridge, GA
- Zip : 30281-6328
- Fax : (404) 962-6943
- Phone : (770) 213-3366
Second Address
- Casey R. Black
- 125 Eagle Spring Dr
- Stockbridge, GA
- Zip : 30281-6328
- Fax : (404) 962-6943
- Phone : (770) 213-3366
Reviews
FAQs
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Where is Casey R. Black ’s practice located?
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Is Casey R. Black a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN146749 | GA |
National Provider Identifier
| NPI | 1003151028 |
|---|---|
| Provider Name | Casey R. Black |
| First Address | Stockbridge, GA 30281-6328 |
| Second Address | Stockbridge, GA 30281-6328 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2012 |
| Last Update Date | 10/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.