Individual
SONJA RENA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
213 WINESPRING PL, SIMPSONVILLE, SC 29681-6213
(864) 430-0996
Mailing address
213 WINESPRING PL, SIMPSONVILLE, SC 29681-6213
(864) 430-0996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232700
SC
Other
Enumeration date
07/20/2020
Last updated
09/11/2025
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