Dr Donald R Black, MD | |
501 Robertson Blvd, Walterboro, SC 29488-2787 | |
(704) 782-2000 | |
Not Available |
Full Name | Dr Donald R Black |
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Gender | Male |
Speciality | Pediatrics |
Location | 501 Robertson Blvd, Walterboro, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306816368 | NPI | - | NPPES |
7916020 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101280774 (Virginia) | Primary |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270 |
Entity Name | Southeastern Hospitalist Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
Mailing Address | Practice Location Address |
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Dr Donald R Black, MD 501 Robertson Blvd, Walterboro, SC 29488-2787 Ph: (704) 201-4770 | Dr Donald R Black, MD 501 Robertson Blvd, Walterboro, SC 29488-2787 Ph: (704) 782-2000 |
Dr. Cheryl A Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Robertson Blvd, Walterboro, SC 29488 Phone: 843-782-5437 Fax: 843-782-4269 | |
Juliette Walker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 457 Spruce St, Walterboro, SC 29488 Phone: 843-781-7428 Fax: 843-781-7429 | |
Dr. Lucinda Demarco, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 501 Robertson Blvd, Walterboro, SC 29488 Phone: 843-599-0817 Fax: 843-782-2331 | |
Michael J Sylvia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 Robertson Blvd, Walterboro, SC 29488 Phone: 843-782-2370 | |
John Comer Watts Iv, Pediatrics Medicare: Medicare Enrolled Practice Location: 830 Robertson Blvd, Walterboro, SC 29488 Phone: 843-781-7428 | |
Nicholas Matthew Cundiff, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 457 Spruce St, Walterboro, SC 29488 Phone: 843-781-7428 Fax: 843-781-7429 |