NPI 1558025429

Eric Black, IDMT

Practitioner Independent Duty Medical Technicians Shaw Afb, SC

Practice location

Address: 431 Meadowlark St, Shaw Afb, SC 29152-5019
Phone: (803) 895-2273

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in South Carolina →

Registry record

NPI: 1558025429
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2021
Record last updated: 27 Oct 2021

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.