ERIC BLACK

SHAW AFB, SC
NPI1558025429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2021-10-27
Last Update Date2021-10-27
Business Address
ERIC BLACK IDMT
431 MEADOWLARK ST
SHAW AFB, SC 29152-5019
Phone number: 803-895-2273
Mailing Address
ERIC BLACK IDMT
431 MEADOWLARK ST
SHAW AFB, SC 29152-5019
Phone number: 803-895-2273
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