Tracie Warren in North Charleston - Physician Assistant

Tracie Warren - NPI 1588762835

Tracie Warren is a Physician Assistant in North Charleston, South Carolina. Tracie Warren practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracie Warren is 1588762835. The last update date is 2015-11-20.

Tracie Warren's current location address is 8740 Rivers Ave, North Charleston, South Carolina. You can contact this provider via phone number 8435725990. The mailing address for Tracie Warren is 8740 Rivers Ave, North Charleston, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracie Warren
Address 8740 Rivers Ave, North Charleston, South Carolina
Phone Number 8435725990
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1588762835
Provider Enumeration Date 2006-09-20
Last Updated Date 2015-11-20

Provider Mailing Address Detail

Address 8740 Rivers Ave
City North Charleston
State South Carolina (SC)
Post Code 294069211
Phone Number 8435725990
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2088
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2137PA SC --

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FAQs about Tracie Warren

Could you please provide the complete physical location address of Tracie Warren?

The Tracie Warren is physically situated at 8740 Rivers Ave, in the city of North Charleston, state of SC, with the postal code 294069211.

What is the Tracie Warren's specialty and taxonomy code?

The Tracie Warren's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

What is the area of specialization for Tracie Warren, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tracie Warren is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

When was the Tracie Warren's 1588762835 issued?

The Tracie Warren's 1588762835 was issued on 2006-09-20.

On what date did the Centers for Medicare & Medicaid Services issue the 1588762835 to Tracie Warren?

The Tracie Warren received its 1588762835 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.

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