Courtney Black, PA-C
Military Health Care Provider in Fort Bragg, NC. Individual provider (NPI-1).
NPI number1649927104
StatusActive
Last updated in NPPESDec 4, 2025
Details
- NPI
- 1649927104
- Entity type
- Individual (NPI-1)
- Name
- Courtney Black
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2022
- Certification date
- Dec 4, 2025
- Last updated
- Dec 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171000000X | Military Health Care Provider | – | – | Yes |
Practice location
2817 Rock Merritt AveWomack Army Medical Center
Fort Bragg, NC 28310-7324
Phone 910-907-8922 · Fax 910-907-6069
Mailing address
2817 Rock Merritt AveWomack Army Medical Center
Fort Bragg, NC 28310-7394
Phone 910-907-8922 · Fax 910-907-6069
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