Wood, Tracy Duvall

Wood, Tracy Duvall is an sole proprietor health care provider with primary practice located at 124 Mallard St , Greenville SC 29601-4046. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wood, Tracy Duvall can be contacted via phone (864) 241-1040.

Contact Information

Primary practice address
124 Mallard St Greenville SC 29601-4046
Phone: (864) 241-1040
Fax: (864) 241-1049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 66229 South Carolina

Profile Details

NPI number 1619148350
LBN Legal business name Wood, Tracy Duvall
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2008
Last updated Mar 21st, 2008 - about 16 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 1619148350 NPPES
South Carolina MEDICAID 301100
South Carolina Other 3333

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