Individual
ERIN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
73 MAXWELL LN, DAHLONEGA, GA 30533-7146
(770) 219-9630
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN175357
GA
Other
Enumeration date
07/15/2013
Last updated
03/01/2024
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