Black, Leah Autry

Black, Leah Autry is an individual health care provider with primary practice located at 1327 Robeson St , Fayetteville NC 28305-5531. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Black, Leah Autry can be contacted via phone (910) 486-5437.

Contact Information

Primary practice address
1327 Robeson St Fayetteville NC 28305-5531
Phone: (910) 486-5437
Fax: (910) 486-5437
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102900 North Carolina

Profile Details

NPI number 1518950369
LBN Legal business name Black, Leah Autry
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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