Cordray, Tracy Leigh
Cordray, Tracy Leigh is an sole proprietor health care provider with primary practice located at 2093 Henry Tecklenburg Dr Ste 340 , Charleston SC 29414-5741. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Cordray, Tracy Leigh can be contacted via phone (843) 718-2334.Contact Information
Primary practice address
2093 Henry Tecklenburg Dr Ste 340
Charleston SC 29414-5741
Phone: (843) 718-2334
Fax: (843) 277-2067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | A79618 | California |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 22185 | South Carolina |
Profile Details
| NPI number | 1346432614 |
|---|---|
| LBN Legal business name | Cordray, Tracy Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2007 |
| Last updated | Oct 13th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346432614 | NPPES |
| South Carolina | Other | 813653106 | TAX ID |
| South Carolina | Other | 1346432614 | TAX ID |
| South Carolina | Other | SC5037G677 | TAX ID |
| South Carolina | MEDICAID | 30236309 | TAX ID |
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