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1659588382
JONATHAN BLACK
COLUMBIA, SC
NPI
1659588382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: SC TL34783)
Enumeration Date
2007-05-16
Last Update Date
2012-07-19
Business Address
JONATHAN BLACK MD
1 RICHLAND MEDICAL PARK DR SUITE 200
COLUMBIA, SC 29203-6834
Phone number: 803-765-9233
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Mailing Address
JONATHAN BLACK MD
1 RICHLAND MEDICAL PARK DR SUITE 200
COLUMBIA, SC 29203-6834
Phone number: 803-765-9233
Copy
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