MICHAEL ANTHONY BLACK

SPARTANBURG, SC
NPI1003007311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10004010)
Enumeration Date2007-08-05
Last Update Date2021-02-02
Business Address
MICHAEL ANTHONY BLACK P.A.-C
1762 E MAIN ST
SPARTANBURG, SC 29307-2231
Phone number: 864-591-2261
Mailing Address
MICHAEL ANTHONY BLACK P.A.-C
1818 HENDERSON ST
COLUMBIA, SC 29201-2619
Phone number: 803-782-4278