HAYLEE SAMANTHA BLACK NPI 1144794280

NPI Information

Haylee Samantha Black is a student in an organized health care education training program in Myrtle Beach, SC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Haylee Samantha Black NPI is 1144794280. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

147 TIBTON CIR
MYRTLE BEACH, SC
ZIP 29588-266
Phone: (843) 467-7946

The enumeration date for this NPI number is 1/11/2019 and was last updated on 1/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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