Individual
COLLIN WARNER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2300 SOUTHWOOD DR, NASHUA, NH 03063-1818
(603) 577-4000
(603) 640-1228
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3217
SC
Other
Enumeration date
01/30/2017
Last updated
01/12/2026
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