Black, Ashley S

Black, Ashley S is an individual health care provider with primary practice located at 100 Healthy Way Suite 1250, Anderson SC 29621-7915. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Black, Ashley S can be contacted via phone (864) 512-6927.

Contact Information

Primary practice address
100 Healthy Way Suite 1250 Anderson SC 29621-7915
Phone: (864) 512-6927
Fax: (864) 512-6687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4138 South Carolina

Profile Details

NPI number 1639477227
LBN Legal business name Black, Ashley S
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2011
Last updated Jan 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639477227 NPPES
South Carolina MEDICAID NP2003

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