NPI 1003151028
Casey R. Black, NP
Practice location
- Address
- 125 Eagle Spring Dr, Stockbridge, GA 30281-6328
- Phone
- (770) 213-3366
- Fax
- (404) 962-6943
Registered specialties
Nurse Practitioner
Primary
Registry record
- NPI
- 1003151028
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Dec 2012
- Record last updated
- 10 May 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.