Dr CASEY R BLACK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.
MAGNOLIA MEDICAL GROUP, LLC
101 CHASE COURT NW
SUITE B
MILLEDGEVILLE
GA
310617188
Tel: 4784532341
| Npi | 1003151028 |
| Pac Id | 9436302619 |
| Professional Enrollment Id | I20130122000341 |
| Last Name | BLACK |
| First Name | CASEY |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | MAGNOLIA MEDICAL GROUP, LLC |
| Group Practice Pac Id | 5799066387 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 101 CHASE COURT NW |
| Line 2 Street Address | SUITE B |
| Marker Of Address Line 2 Suppression | |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 310617188 |
| Phone Number | 4784532341 |
| Hospital Affiliation Ccn 1 | 110150 |
| Hospital Affiliation Lbn 1 | NAVICENT HEALTH BALDWIN |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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