TRACY REYMORE BLACK

CHARLOTTE DERMATOLOGY PA

Dr TRACY REYMORE BLACK is a female medical professional, specializing in Physician Assistant. She graduated in 1989.

Contact

CHARLOTTE DERMATOLOGY PA

8208 DEVON COURT
SUITE B
MYRTLE BEACH
SC
295724178

Tel: 8669853376

TRACY REYMORE BLACK Information

Npi 1033181193
Pac Id 8123171170
Professional Enrollment Id I20181128002982
Last Name BLACK
First Name TRACY
Middle Name REYMORE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1989
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CHARLOTTE DERMATOLOGY PA
Group Practice Pac Id 4486624590
Number Of Group Practice Members 10
Line 1 Street Address 8208 DEVON COURT
Line 2 Street Address SUITE B
Marker Of Address Line 2 Suppression
City MYRTLE BEACH
State SC
Zip Code 295724178
Phone Number 8669853376
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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