Eric Black, IDMT
NPI #1558025429 in Shaw Afb, South Carolina
Provider Information
- NPI Number
- 1558025429
- Entity Type
- Individual
- Name
- Eric Black, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Oct 27, 2021
- Last Updated
- Oct 27, 2021
Practice Location
- Address
- 431 MEADOWLARK ST
- City
- Shaw Afb
- State
- South Carolina
- ZIP Code
- 29152-5019
- Phone
- (803) 895-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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