NPI 1265529499

Samuel a Black, MD, LLC

Organisation Rehabilitation Practitioner Sumter, SC

Practice location

Address: 129 N Washington St, Sumter, SC 29150-4949
Phone: (800) 228-0249
Fax: (252) 222-3602
Mailing address: PO Box 39, Morehead City, NC 28557-0039

Authorised official

Name: Samuel a Black
Title: President
Phone: (800) 228-0249

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence MD5514 (SC)

Other Rehabilitation Practitioner providers in South Carolina →

Registry record

NPI: 1265529499
Entity type: Organization
NPI issued: 9 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.