| Nicole Black, PA-C | |
|
111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | |
| (770) 422-1013 | |
| Not Available |
| Full Name | Nicole Black |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 111 Marble Mill Rd Nw, Marietta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043874910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9841 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marietta Dermatology Associates Pa | 6507850120 | 20 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Black, PA-C 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 Ph: (770) 422-1013 | Nicole Black, PA-C 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 Ph: (770) 422-1013 |
Mrs. Torey Charlise Davis-bogan, SA-C, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3105 Rome Ct Sw, Marietta, GA 30064 Phone: 317-664-0771 | |
Yumei Manzano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 699 Church St Ne Ste 340, Marietta, GA 30060 Phone: 678-355-1620 | |
Mrs. Lisa M Lewis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068 Phone: 770-971-3376 | |
Erin Alexandra Oweida, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 Kennestone Hospital Blvd, Marietta, GA 30060 Phone: 770-793-7900 | |
Ms. Megan Nichole Dalton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060 Phone: 770-281-5100 Fax: 678-581-7100 | |
Jonathan Collier Stone, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1044 Azalea Cir, Marietta, GA 30062 Phone: 770-354-0584 | |
Raajan Raja Arulampalam, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 |