Devoe, Traci A

Devoe, Traci A is an individual health care provider with primary practice located at 2781 Tricom St Palmetto Pediatrics, Pa, N Charleston SC 29406-9170. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Devoe, Traci A can be contacted via phone (843) 797-5600.

Contact Information

Primary practice address
2781 Tricom St Palmetto Pediatrics, Pa N Charleston SC 29406-9170
Phone: (843) 797-5600
Fax: (843) 572-4872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35122644 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40795 South Carolina

Profile Details

NPI number 1972879799
LBN Legal business name Devoe, Traci A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Oct 4th, 2017 - about 9 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 1972879799 NPPES
Ohio MEDICAID 0120646
Ohio MEDICAID 407955

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