Individual
GRAYCEN ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
834 BLUFFTON DR, ROEBUCK, SC 29376-2718
(864) 612-0503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
SC
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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