Search › Georgia › 133VN1201X
Cassady Black
NPI 1104433713 · on the registry since 2020
Practice
- Address
- 9543 Poplar Ct
Douglasville, GA 30135 - Phone
- (678) 477-4169
Registry record
- Primary taxonomy
- 133VN1201X
133VN1201X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia