Individual
MS. CARLIE M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
623 N 35TH ST, MOREHEAD CITY, NC 28557-3126
(252) 222-5700
(252) 222-5705
Mailing address
623 N 35TH ST, MOREHEAD CITY, NC 28557-3126
(252) 222-5700
(252) 222-5705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09056
NC
363A00000X
Physician Assistant
5218
TN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/27/2017
Last updated
02/18/2026
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