MRS. Tracy Reymore Black, PA-C

NPI #1033181193 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1033181193
Entity Type: Individual
Name: MRS. Tracy Reymore Black, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 3, 2006
Last Updated: Dec 21, 2018

Practice Location

Address: 8208 DEVON COURT
Address 2: SUITE B
City: Myrtle Beach
State: South Carolina
ZIP Code: 29572
Phone: (704) 364-6110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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