Eric Black, IDMT
Eric Black, IDMT is an Independent Duty Medical Technicians in Shaw AFB, South Carolina. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
431 Meadowlark StShaw AFB, SC 29152-5019
Phone: (803) 895-2273
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Specialties & licences
| Independent Duty Medical Technicians (primary) | Taxonomy 1710I1003X |
|---|
Record details
| NPI number | 1558025429 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDMT |
| Sole proprietor | No |
| NPI enumerated | October 27, 2021 |
| Last updated in NPPES | October 27, 2021 |
| Certification date | October 27, 2021 |
| Mailing address | 431 Meadowlark St, Shaw Afb, SC 29152-5019 |
Other providers in Shaw AFB
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Sidonia Lee Alo, IDMT
431 Meadowlark St, Shaw AFB, SC 29152-5019 · (803) 895-6527
-
Desmond Jacob Marroquin
420 Polifka Dr, Shaw AFB, SC 29152-5100 · (803) 885-0249
-
Jessica A. Pownell
420 Polifka Dr, Shaw AFB, SC 29152-5100 · (803) 895-6605
-
Scott B Wyatt, IDMT
431 Meadowlark St, Shaw AFB, SC 29152-5019 · (321) 961-1447