Mrs. Leah A. Black PA C
Physician Assistant in Fayetteville, NC(View on Map)
Full Name
Mrs. Leah Autry Black PA C
NPI Number
1518950369
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/26/2005
Specialties
(Taxonomies)Licenses
State
North Carolina
License Number
102900
Contact
Information
Purpose
Mailing
Location
Address
1327 ROBESON ST
1327 ROBESON ST
City
Fayetteville
Fayetteville
State
NC
NC
Postal Code
28305-5531
28305-5531
Country
US
US
Telephone Number
(910) 486-5437
(910) 486-5437
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/21/2022
Provider Address
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