Nelson, Tracy Dawn

Nelson, Tracy Dawn is an individual health care provider with primary practice located at 8203 Nigels Dr Suite 100, Myrtle Beach SC 29572-4177. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Nelson, Tracy Dawn can be contacted via phone (843) 449-5848.

Contact Information

Primary practice address
8203 Nigels Dr Suite 100 Myrtle Beach SC 29572-4177
Phone: (843) 449-5848
Fax: (843) 692-0841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19993 South Carolina

Profile Details

NPI number 1356445696
LBN Legal business name Nelson, Tracy Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jan 12th, 2011 - about 14 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 1356445696 NPPES
South Carolina MEDICAID T40925

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