Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL ANTHONY BLACK SR., P.A.-C
ActivePhysician Assistant · SPARTANBURG, SC
Registration Details
- NPI Number
- 1003007311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2007 (18.723852132195 yrs)
- Last Updated
- Oct 31, 2024
- Licenses
-
PA10004010 (WA)3808 (SC)
Practice Information
- Address
-
1762 E MAIN STSPARTANBURG, SC, 293072231Browse SC providers · Browse ZIP 29307
- Phone
- 8645912261
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SPARTANBURG, SC
| Name | Credential | NPI |
|---|---|---|
| CARRIE SUE KNIPE | PAC | 1962408229 |
| CHRISTEL ANN SCHWEIZER | PA | 1750362182 |
| THOMAS C HOKANSON | PA C | 1376591313 |
| MRS. NICOLE LYNNE CROCKFORD | PA-C | 1265480065 |
| MELISSA RICE | P.A.- C | 1285683698 |
| HOLLY AUSTIN | PAC | 1922047521 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.