Individual
EMILY D. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14 EDGEWOOD DR, GREENVILLE, SC 29605-4246
(864) 250-7944
(864) 250-9582
Mailing address
101 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2316
(864) 388-1072
(864) 388-1052
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
77950
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2014
Last updated
08/02/2022
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