Search › South Carolina › 363A00000X
Tracy Black, PA-C
NPI 1033181193 · on the registry since 2006
Practice
- Address
- 8208 Devon Court
Suite B
Myrtle Beach, SC 29572 - Phone
- (704) 364-6110
- Fax
- (704) 364-4245
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina