Individual provider · Type 1 NPI

Haylee Samantha Black

Student in an Organized Health Care Education/Training Program · Myrtle Beach, SC

NPI number 1144794280 Active

Practice location

147 Tibton Cir
Myrtle Beach, SC 29588-1266

Call (843) 467-7946 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1144794280

Haylee Samantha Black's National Provider Identifier is 1144794280, issued on Jan 11, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jan 11, 2019.