Provider Demographics
NPI:1427164904
Name:BLACK, HUGH RATCHFORD II (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:RATCHFORD
Last Name:BLACK
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:8045 PROVIDENCE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-8745
Mailing Address - Country:US
Mailing Address - Phone:704-341-9600
Mailing Address - Fax:704-341-9996
Practice Address - Street 1:8045 PROVIDENCE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-8745
Practice Address - Country:US
Practice Address - Phone:704-341-9600
Practice Address - Fax:704-341-9996
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2024-04-10
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Provider Licenses
StateLicense IDTaxonomies
NC9700474174400000X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891041JMedicaid
NCU43762Medicare UPIN