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Mrs. Neicole Dutton Black, PA-C
Physician Assistant in Florence, South Carolina
NPI 1033158548

Neicole Dutton Black is a Physician Assistant based in Pembroke, SC. Neicole Dutton Black practices in Florence, SC and has the professional credentials of PA-C. The NPI Number for Neicole Dutton Black is 1033158548 and holds a License No. 1091 (South Carolina).

The current practice location address for Neicole Dutton Black is 2410 Hoffmeyer Rd, Florence, SC and can be reached out via phone at 843-882-6162 and via fax at 843-662-8183.

Location: 2410 Hoffmeyer Rd, Florence, SC, 28372-7386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033158548
Provider Name
Neicole Dutton Black
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2410 Hoffmeyer Rd, Florence, SC, 28372-7386
Phone Number
843-882-6162
Fax Number
843-662-8183
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8103286 05 NC
1091 01 SC STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2410 Hoffmeyer Rd
City
Florence
State
South Carolina
Zip
29501-7311
Phone Number
843-882-6162
Fax Number
843-662-8183
person
Provider Business Mailing Address Details
Address
2410 Hoffmeyer Rd
City
Florence
State
South Carolina
Zip
29501-7311
Phone Number
843-882-6162
Fax Number
843-662-8183
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1091 (South Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1091 (South Carolina)
Definition
Definition to come...
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