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Contact Information

ANITA BLACK
182 MIDDLETON PARK LN
MOORE, SC29369-7800
 Phone: 864-804-2166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for ANITA BLACK · (Female)

NPI Number 1477234235
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2023
Last updated 07/26/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • SC Other 87-0998726 EINS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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