Tracie Renee Graham in Memphis - Specialist
Tracie Renee Graham - NPI 1265550875
Tracie Renee Graham is a Specialist in Memphis, Tennessee. Tracie Renee Graham practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tracie Renee Graham is 1265550875. The last update date is 2007-07-09.
Tracie Renee Graham's current location address is 4734 Bethay Dr, Memphis, Tennessee. You can contact this provider via phone number 9014943710 and fax number 8707331200. The mailing address for Tracie Renee Graham is 4734 Bethay Dr, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracie Renee Graham |
---|---|
Address | 4734 Bethay Dr, Memphis, Tennessee |
Phone Number | 9014943710 |
Fax Number | 8707331200 |
Sole Proprietor | Y |
Credentials | O.T. |
NPI Number Detail
NPI Number | 1265550875 |
---|---|
Provider Enumeration Date | 2007-03-26 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 4734 Bethay Dr |
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City | Memphis |
State | Tennessee (TN) |
Post Code | 381255700 |
Phone Number | 9014943710 |
Fax Number | 8707331200 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | OTR1280 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5U518 | AR | AR BLUECROSS BLUESHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Tracie Renee Graham by the Centers for Medicare & Medicaid Services?
The Tracie Renee Graham has been issued the NPI (National Provider Identifier) 1265550875. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tracie Renee Graham located?
The Tracie Renee Graham is located at 4734 Bethay Dr, Memphis, TN 381255700.
What is Tracie Renee Graham's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracie Renee Graham is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265550875 to Tracie Renee Graham?
The Tracie Renee Graham received its 1265550875 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date was the information pertaining to Tracie Renee Graham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracie Renee Graham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY