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Samuel A Black, Md, Llc
Rehabilitation Practitioner in Sumter, South Carolina
NPI 1265529499

Samuel A Black, Md, Llc is a Rehabilitation Practitioner based in Morehead City, SC. Samuel A Black, Md, Llc practices in Sumter, SC. The NPI Number for Samuel A Black, Md, Llc is 1265529499 and holds a License No. MD5514 (South Carolina).

The current practice location address for Samuel A Black, Md, Llc is 129 N Washington St, Sumter, SC and can be reached out via phone at 800-228-0249 and via fax at 252-222-3602.

Location: 129 N Washington St, Sumter, SC, 28557-0039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265529499
Provider Name
Samuel A Black, Md, Llc
Credential
Provider Entity Type
Organization
Address
129 N Washington St, Sumter, SC, 28557-0039
Phone Number
800-228-0249
Fax Number
252-222-3602
Provider Enumeration Date
10/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
055148 05 SC
institution
Provider Business Practice Location Address Details
Address
129 N Washington St
City
Sumter
State
South Carolina
Zip
29150-4949
Phone Number
800-228-0249
Fax Number
252-222-3602
person
Provider Business Mailing Address Details
Address
129 N Washington St
City
Sumter
State
South Carolina
Zip
29150-4949
Phone Number
800-228-0249
Fax Number
252-222-3602
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
MD5514 (South Carolina)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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