person
English B Black I, PAC
Medical Physician Assistant in High Point, North Carolina
NPI 1588613129

English B Black I is a Medical Physician Assistant based in High Point, NC and is specialized in Medical. English B Black I practices in High Point, NC and has the professional credentials of PAC. The NPI Number for English B Black I is 1588613129 and holds a License No. PA19680 (North Carolina).

The current practice location address for English B Black I is 4010 Mendenhall Oaks Pkwy, High Point, NC and can be reached out via phone at 336-887-3195 and via fax at 336-887-3194. You can also correspond with English B Black I through the mailing address at 4010 MENDENHALL OAKS PKWY, HIGH POINT, NC - 27265-8076 (mailing address contact number: 336-887-3195).

Location: 4010 Mendenhall Oaks Pkwy, High Point, NC, 27265-8076
person
Provider Profile Details
NPI Number
1588613129
Provider Name
English B Black I
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
4010 Mendenhall Oaks Pkwy, High Point, NC, 27265-8076
Phone Number
336-887-3195
Fax Number
336-887-3194
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2760634 01 NC MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
4010 Mendenhall Oaks Pkwy
City
State
Zip
27265-8076
Phone Number
336-887-3195
Fax Number
336-887-3194
person
Provider Business Mailing Address Details
Address
4010 Mendenhall Oaks Pkwy
City
State
Zip
27265-8076
Phone Number
336-887-3195
Fax Number
336-887-3194
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA19680 (California)
Definition
Definition to come...
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