Black, Tracy Reymore

Black, Tracy Reymore is an individual health care provider with primary practice located at 8208 Devon Court Suite B, Myrtle Beach SC 29572. 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, Tracy Reymore can be contacted via phone (704) 364-6110.

Contact Information

Primary practice address
8208 Devon Court Suite B Myrtle Beach SC 29572
Phone: (704) 364-6110
Fax: (704) 364-4245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 101218 North Carolina

Profile Details

NPI number 1033181193
LBN Legal business name Black, Tracy Reymore
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Dec 21st, 2018 - about 8 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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