Ladd, Traci Aurelia

Ladd, Traci Aurelia is an individual health care provider with primary practice located at 14215 Ballantyne Corporate Park Suite 130, Charlotte NC 28277. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ladd, Traci Aurelia can be contacted via phone (704) 384-1950.

Contact Information

Primary practice address
14215 Ballantyne Corporate Park Suite 130 Charlotte NC 28277
Phone: (704) 384-1950
Fax: (704) 384-1955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9901431 North Carolina

Profile Details

NPI number 1659363489
LBN Legal business name Ladd, Traci Aurelia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Oct 28th, 2020 - about 6 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 1659363489 NPPES
South Carolina MEDICAID N01437
South Carolina MEDICAID 891288M

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