Individual
DR. DONALD R BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(704) 782-2000
Mailing address
501 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(704) 201-4770
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101280774
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7916020
—
NC
Enumeration date
01/24/2006
Last updated
02/05/2024
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