Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASSADY BLACK
ActiveCASSADY BLACK is a Obesity & Weight Management Nutrition healthcare provider located in DOUGLASVILLE, Georgia. NPI 1104433713 is currently active in the NPPES registry. Verify at CMS.
Obesity & Weight Management Nutrition · DOUGLASVILLE, GA
Registration Details
- NPI Number
- 1104433713
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2020 (5.8315938947214 yrs)
- Last Updated
- Sep 28, 2020
- License
-
LD005540 (GA)
Practice Information
- Address
-
9543 POPLAR CTDOUGLASVILLE, GA, 301351798Browse GA providers · Browse ZIP 30135
- Phone
- 6784774169
- Primary Specialty
-
Obesity & Weight Management Nutrition
133VN1201X
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.