Atherton, Tracey Gordon

Atherton, Tracey Gordon is an individual health care provider with primary practice located at 2051 Charlie Hall Blvd , Charleston SC 29414-5834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Atherton, Tracey Gordon can be contacted via phone (843) 573-2535.

Contact Information

Primary practice address
2051 Charlie Hall Blvd Charleston SC 29414-5834
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3568 South Carolina

Profile Details

NPI number 1669609798
LBN Legal business name Atherton, Tracey Gordon
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Aug 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers