Leah Autry Black in Fayetteville - Physician Assistant

Leah Autry Black - NPI 1518950369

Leah Autry Black is a Physician Assistant in Fayetteville, North Carolina. Leah Autry Black practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Leah Autry Black is 1518950369. The last update date is 2022-07-21.

Leah Autry Black's current location address is 1327 Robeson St, Fayetteville, North Carolina. You can contact this provider via phone number 9104865437 and fax number 9104860011. The mailing address for Leah Autry Black is 1327 Robeson St, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Leah Autry Black
Address 1327 Robeson St, Fayetteville, North Carolina
Phone Number 9104865437
Fax Number 9104860011
Sole Proprietor N
Credentials PA C

NPI Number Detail

NPI Number 1518950369
Provider Enumeration Date 2005-08-26
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 1327 Robeson St
City Fayetteville
State North Carolina (NC)
Post Code 283055531
Phone Number 9104865437
Fax Number 9104860011

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 102900
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Leah Autry Black

What is the unique 10-digit identifier code issued to Leah Autry Black by the Centers for Medicare & Medicaid Services?

The Leah Autry Black has been assigned the NPI (National Provider Identifier) 1518950369 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Leah Autry Black is geographically located?

The Leah Autry Black is physically situated at the following location: 1327 Robeson St, Fayetteville, NC, 283055531.

What is the area of specialization for Leah Autry Black, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Leah Autry Black is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

When did the Leah Autry Black receive its 1518950369?

The Leah Autry Black was issued its 1518950369 on 2005-08-26, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Leah Autry Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Leah Autry Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.

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