Michael A. Black, P.A.-C
Physician Assistant · Spartanburg, SC
UnclaimedP.A.-CNPI 1003007311
- Primary taxonomy
- 363A00000X
- Enumerated
- 2007-08-05
- Practice location
- Spartanburg, SC
- Last NPPES update
- 2024-10-31
State licenses
- WA · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.