Misty Dawn Black, CRT
NPI #1952628281 in Saint Marys, Georgia
Provider Information
- NPI Number
- 1952628281
- Entity Type
- Individual
- Name
- Misty Dawn Black, CRT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Respiratory Therapist, Certified
- Credential
- CRT
- Enumeration Date
- Apr 26, 2010
- Last Updated
- Apr 26, 2010
Practice Location
- Address
- 105 CHANDLER WAY
- City
- Saint Marys
- State
- Georgia
- ZIP Code
- 31558-2935
- Phone
- (912) 674-1105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respiratory Therapist, Certified |
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