MRS. TRACY BLACK, PA-C

Physician Assistant

Active Individual
NPI: 1033181193

Practice Address

8208 DEVON COURT
SUITE B
Myrtle Beach, SC 29572

Phone: (704) 364-6110

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 101218 (NC)

Frequently Asked Questions

NPI 1033181193 is the National Provider Identifier for MRS. TRACY BLACK, PA-C, a Physician Assistant provider located in Myrtle Beach, SC. This NPI was enumerated on February 3, 2006.
MRS. TRACY BLACK, PA-C practices at 8208 DEVON COURT, SUITE B, Myrtle Beach, SC 29572.

Quick Facts

NPI
1033181193
Type
Individual
Enumerated
Feb 3, 2006
Last Updated
Dec 21, 2018

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