Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 9700474 | NC |
NPI | 1427164904 |
---|---|
Provider Name | Dr. Hugh Ratchford Black II |
First Address | Charlotte, NC 28277-8745 |
Second Address | Charlotte, NC 28277-8745 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 25/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
891041J | (05) | NC |
U43762 | (02) | NC |