Individual
JASON ALLEN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 HOSPITAL DR, SUITE 4200, ASHEVILLE, NC 28801-4500
(828) 213-1994
(828) 213-1992
Mailing address
PO BOX 745319, ATLANTA, GA 30374-3366
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11416
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306217740
PHYSICIAN ASSOCIATE
NC
Enumeration date
10/12/2015
Last updated
02/07/2022
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