NPI 1033158548

Neicole Dutton Black, PAC

Practitioner Physician Assistant Florence, SC

Practice location

Address: 2410 Hoffmeyer Rd, Florence, SC 29501-7311
Phone: (843) 882-6162
Fax: (843) 662-8183
Mailing address: 60 Commerce Plaza Cir, Pembroke, NC 28372-7386

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1091 (SC)

Other Physician Assistant providers in South Carolina →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 1091 (SC)

Registry record

NPI: 1033158548
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2006
Record last updated: 5 Sep 2019

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.