Black, Donald R

Black, Donald R is an individual health care provider with primary practice located at 501 Robertson Blvd , Walterboro SC 29488-2787. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Black, Donald R can be contacted via phone (704) 782-2000.

Contact Information

Primary practice address
501 Robertson Blvd Walterboro SC 29488-2787
Phone: (704) 782-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101280774 Virginia

Profile Details

NPI number 1306816368
LBN Legal business name Black, Donald R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Feb 5th, 2024 - about last year

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 1306816368 NPPES
North Carolina MEDICAID 7916020

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