OrganizationActive
Samuel a Black, MD, LLC
NPI 1265529499 · Rehabilitation Practitioner · Sumter, SC
Provider details
- NPI number
- 1265529499
- Entity type
- Organization
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Samuel Black, President(800) 228-0249
- License
- MD5514 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
129 N Washington St
Sumter, SC 29150-4949
Phone: (800) 228-0249
Fax: (252) 222-3602
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 39
Morehead City, NC 28557-0039
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.