Atherton, Tracey Gordon
Atherton, Tracey Gordon is an individual health care provider with primary practice located at 2051 Charlie Hall Blvd , Charleston SC 29414-5834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Atherton, Tracey Gordon can be contacted via phone (843) 573-2535.Contact Information
Primary practice address
2051 Charlie Hall Blvd
Charleston SC 29414-5834
Phone: (843) 573-2535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 3568 | South Carolina |
Profile Details
| NPI number | 1669609798 |
|---|---|
| LBN Legal business name | Atherton, Tracey Gordon |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2009 |
| Last updated | Aug 18th, 2015 - 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.
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