# DR. TRACY M BLACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700853660
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 9400724 | NC | Yes |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 01/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12086 | BCBS | NC |
| 01 | — | 2337913 | MEDICARE LEGACY ID | NC |
| 01 | — | 4646370 | AETNA | NC |
| 05 | — | 8912086 | — | NC |
| 01 | — | P00163549 | RAILROAD | NC |