Individual
ANDREA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87 LANGFORD LN, TOCCOA, GA 30577-6737
(706) 200-2184
Mailing address
87 LANGFORD LN, TOCCOA, GA 30577-6737
(706) 200-2184
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN257421
GA
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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