Individual
NICOLE CASSEDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAAA
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(770) 963-9905
(770) 962-9814
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(866) 507-5244
(954) 858-1815
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006967
GA
Other
Enumeration date
09/16/2013
Last updated
03/09/2021
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