Reeves, Tracy B

Reeves, Tracy B is an individual health care provider with primary practice located at 110 Nnptc Cir , Goose Creek SC 29445-6314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reeves, Tracy B can be contacted via phone (843) 794-6840.

Contact Information

Primary practice address
110 Nnptc Cir Goose Creek SC 29445-6314
Phone: (843) 794-6840
Fax: (843) 794-6036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 648 South Carolina

Profile Details

NPI number 1053526772
LBN Legal business name Reeves, Tracy B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated May 28th, 2024 - about last year

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 1053526772 NPPES
South Carolina Other P00846491 RR - MEDICARE#
South Carolina MEDICAID 0682PA RR - MEDICARE#

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