Individual
ERICK BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
8116 ARLINGTON BLVD STE 117, FALLS CHURCH, VA 22042-1002
(404) 671-9556
(404) 671-9110
Mailing address
8116 ARLINGTON BLVD STE 117, FALLS CHURCH, VA 22042-1002
(404) 671-9556
(404) 671-9110
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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