Tracy Ingram Mcgowan in New Bern - Geriatrics
Tracy Ingram Mcgowan - NPI 1912100439
Tracy Ingram Mcgowan is a Geriatrics in New Bern, North Carolina. Tracy Ingram Mcgowan practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Tracy Ingram Mcgowan is 1912100439. The last update date is 2009-12-29.
Tracy Ingram Mcgowan's current location address is 1030 Broad Creek Rd, New Bern, North Carolina. You can contact this provider via phone number 2526336335. The mailing address for Tracy Ingram Mcgowan is 1030 Broad Creek Rd, New Bern, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tracy Ingram Mcgowan |
|---|---|
| Address | 1030 Broad Creek Rd, New Bern, North Carolina |
| Phone Number | 2526336335 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ingram Pauline Tracy |
| Telephone Number | 2526336335 |
NPI Number Detail
| NPI Number | 1912100439 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2009-12-29 |
Provider Mailing Address Detail
| Address | 1030 Broad Creek Rd |
|---|---|
| City | New Bern |
| State | North Carolina (NC) |
| Post Code | 285607102 |
| Phone Number | 2526336335 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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What is the unique provider identifier assigned to Tracy Ingram Mcgowan?
The Tracy Ingram Mcgowan has been issued the NPI (National Provider Identifier) 1912100439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Tracy Ingram Mcgowan is located?
The Tracy Ingram Mcgowan is situated at the following address: 1030 Broad Creek Rd, New Bern, NC, 285607102.
What is Tracy Ingram Mcgowan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracy Ingram Mcgowan is Geriatrics, and the taxonomy code that categorizes this field of expertise is 2251G0304X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912100439 to Tracy Ingram Mcgowan?
The Centers for Medicare & Medicaid Services originally issued the 1912100439 to Tracy Ingram Mcgowan on 2007-06-11.
When was the Tracy Ingram Mcgowan's information last updated?
The Tracy Ingram Mcgowan's information was last updated on 2009-12-29.
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