Michael Anthony Black SR., P.A.-C
NPI #1003007311 in Spartanburg, South Carolina
Provider Information
- NPI Number
- 1003007311
- Entity Type
- Individual
- Name
- Michael Anthony Black SR., P.A.-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.-C
- Enumeration Date
- Aug 5, 2007
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 1762 E MAIN ST
- City
- Spartanburg
- State
- South Carolina
- ZIP Code
- 29307-2231
- Phone
- (864) 591-2261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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