Individual
MR. GEORGE EDWARD BLACK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5871
(704) 355-2000
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5871
(704) 355-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
258376
NC
2086S0102X
Surgical Critical Care Physician
258376
NC
2086S0127X
Trauma Surgery Physician
258376
NC
Other
Enumeration date
02/01/2012
Last updated
08/08/2025
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