Cassady Black

NPI #1104433713 in Douglasville, Georgia

Provider Information

NPI Number: 1104433713
Entity Type: Individual
Name: Cassady Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered - Nutrition, Obesity and Weight Management
Enumeration Date: Sep 28, 2020
Last Updated: Sep 28, 2020

Practice Location

Address: 9543 POPLAR CT
City: Douglasville
State: Georgia
ZIP Code: 30135-1798
Phone: (678) 477-4169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management	133VN1201X	Primary

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