Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Leah Autry Black, PAC

Individual provider Physician Assistant · NPI 1518950369

Mrs. Leah Autry Black, PAC is a Physician Assistant in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1327 Robeson St
Fayetteville, NC 28305-5531
Phone: (910) 486-5437
Fax: (910) 486-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 102900 (NC)

Record details

NPI number1518950369
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 26, 2005
Last updated in NPPESJuly 21, 2022

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