Smith, Tracie D
Smith, Tracie D is an individual health care provider with primary practice located at 100 Omni Dr Suite B, Seneca SC 29672-9448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Tracie D can be contacted via phone (864) 482-2350.Contact Information
Primary practice address
100 Omni Dr Suite B
Seneca SC 29672-9448
Phone: (864) 482-2350
Fax: (864) 482-2355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN2677 | South Carolina |
Profile Details
| NPI number | 1053381319 |
|---|---|
| LBN Legal business name | Smith, Tracie D |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Sep 3rd, 2014 - about 11 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 | 1053381319 | NPPES |
| South Carolina | MEDICAID | GP4697 |
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