NPI 1003007311

Michael Anthony Black, PAC

Practitioner Physician Assistant Spartanburg, SC

Practice location

Address: 1762 E Main St, Spartanburg, SC 29307-2231
Phone: (864) 591-2261
Mailing address: PO Box 749306, Atlanta, GA 30374-9306

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3808 (SC)

Other Physician Assistant providers in South Carolina →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA10004010 (WA)

Registry record

NPI: 1003007311
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2007
Record last updated: 31 Oct 2024

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.