Individual
DR. JOSHUA S. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 SEACOAST PKWY, MT PLEASANT, SC 29464-8247
(843) 881-4440
(843) 884-8540
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
52061
SC
Other
Enumeration date
04/14/2009
Last updated
11/13/2024
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