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Contact Information

HENRY C BLACK III, MD
1210 W FARIS RD
GREENVILLE, SC29605-4444
 Phone: 864-522-1800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for HENRY C BLACK III · (Male)

NPI Number 1770541906
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 05/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 17257
  • SC Medicaid 172574
Hospital affiliation(s)
  • KERSHAW HEALTH - (Acute Care)
    HAILE AND ROBERTS STREETS, BOX 7003
    CAMDEN, SC 29020
  • MUSC MEDICAL CENTER - (Acute Care)
    169 ASHLEY AVE
    CHARLESTON, SC 29425
  • PALMETTO HEALTH BAPTIST - (Acute Care)
    TAYLOR AT MARION ST
    COLUMBIA, SC 29220
  • PALMETTO HEALTH RICHLAND - (Acute Care)
    5 RICHLAND MEDICAL PARK
    COLUMBIA, SC 29203
  • SISTERS OF CHARITY PROVIDENCE HOSPITALS - (Acute Care)
    2435 FOREST DR
    COLUMBIA, SC 29204
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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