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Contact Information

JULIE BLACK
2061 HIGHWAY 52 SOUTH
MONCKS CORNER, SC29461
 Phone: 843-761-4622
 Fax: 843-761-4625
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JULIE BLACK · (Female)

NPI # 1346258183
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2006
Last updated 06/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # 3600
  • SC Medicaid GP1753
  • SC Medicaid TH1760
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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