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Individual

JOSEPH WILLIAM BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 HOSPITAL CENTER BLVD, HILTON HEAD ISLAND, SC 29926-2738
(843) 689-8264
(843) 689-8158
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4764
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047648
SC
Enumeration date
02/20/2006
Last updated
12/20/2007
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