George, Tracy Privette

George, Tracy Privette is an individual health care provider with primary practice located at 201 W Hampton St , Dillon SC 29536-3333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. George, Tracy Privette can be contacted via phone (843) 774-5611.

Contact Information

Primary practice address
201 W Hampton St Dillon SC 29536-3333
Phone: (843) 774-5611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN1519 South Carolina

Profile Details

NPI number 1669466710
LBN Legal business name George, Tracy Privette
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 21st, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669466710 NPPES
South Carolina MEDICAID NP0575

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