NPI 1811587272 · live from the CMS NPI Registry
Sydney Black, PA-C
Physician Assistant in Greer, SC. National Provider Identifier 1811587272, active.
NPI record
| NPI | 1811587272 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2700 E Phillips Rd, Greer, SC 29650 |
| Practice phone | 864-235-2335 |
| Mailing address | 106 Davidson Dr, Easley, SC 29642 |
| Enumerated | January 20, 2021 |
| Last updated | January 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | 3860 (SC) |
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.