Individual
MATTHEW BLACK
Active
Individual
MATTHEW BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
61145
KY
208600000X
Surgery Physician
036155268
IL
208600000X
Surgery Physician
2023-02598
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023-02598
MEDICAL BOARD
NC
Enumeration date
05/05/2016
Last updated
10/09/2025
Update your record
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