Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE BLACK, PA-C
ActiveNICOLE BLACK, PA-C is a Physician Assistant healthcare provider located in MARIETTA, Georgia. NPI 1043874910 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MARIETTA, GA
Registration Details
- NPI Number
- 1043874910
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2019 (7.3010194498746 yrs)
- Last Updated
- Aug 8, 2024
- License
-
9841 (GA)
Practice Information
- Address
-
111 MARBLE MILL RD NWMARIETTA, GA, 300601047Browse GA providers · Browse ZIP 30060
- Phone
- 7704221013
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| MS. KATHLEEN WEBB MACKEY | PA-C | 1932104999 |
| MR. PETER JEFF HAIRSTON | PA-C | 1386633832 |
| MR. MICHAEL BRUCE TREMMEL | PA-C | 1962491100 |
| SUSAN HOLLANDER | PA-C | 1891770327 |
| MS. KIMBERLY JANFLONE | PA | 1457324543 |
| PRIYA S. VERMA | PA | 1619943420 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.