Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC BLACK, IDMT
ActiveERIC BLACK, IDMT is a Independent Duty Medical Technician healthcare provider located in SHAW AFB, South Carolina. NPI 1558025429 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · SHAW AFB, SC
Registration Details
- NPI Number
- 1558025429
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2021 (4.7560106557053 yrs)
- Last Updated
- Oct 27, 2021
Practice Information
- Address
-
431 MEADOWLARK STSHAW AFB, SC, 291525019Browse SC providers · Browse ZIP 29152
- Phone
- 8038952273
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in SHAW AFB, SC
| Name | Credential | NPI |
|---|---|---|
| SCOTT B WYATT | IDMT | 1720337462 |
| SIDONIA LEE ALO | IDMT | 1285068296 |
| JESSICA A. POWNELL | — | 1346670551 |
| DESMOND JACOB MARROQUIN | — | 1003585399 |
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.