IndividualActive
Jonathan Black, MD
NPI 1659588382 · Allergy & Immunology Physician · Columbia, SC
Provider details
- NPI number
- 1659588382
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- TL34783 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Richland Medical Park Dr
Suite 200
Columbia, SC 29203-6834
Phone: (803) 765-9233
Fax: (803) 779-0344
Approximate (ZIP-level) locationGet directions
Mailing address
1 Richland Medical Park Dr
Columbia, SC 29203-6834
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2012-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.