Male or Other

Dr. Joshua S. Black M.D.

Dermatology Physician in Mt Pleasant, SC(View on Map)

Full Name

Dr. Joshua S. Black M.D.

NPI Number

1366685885

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/14/2009

Specialties

(Taxonomies)

Code

207N00000X

Primary Taxonomy

Yes

Licenses

State

South Carolina

License Number

52061

Contact
Information

Purpose

Mailing
Location

Address

801 YORK ST
612 SEACOAST PKWY

City

Manitowoc
Mt Pleasant

State

WI
SC

Postal Code

54220-4630
29464-8247

Country

US
US

Telephone Number

(920) 663-9008
(843) 881-4440

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/13/2024

Provider Address

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Specialty: Dermatology Physician (Primary)

Female

Stephanie Smith-phillips M

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Specialty: Dermatology Physician (Primary)

Female

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