Mathena, Tracy Lee

Mathena, Tracy Lee is an individual health care provider with primary practice located at 600 W Ridge Rd Wythe County Community Hospital, Wytheville VA 24382-1044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mathena, Tracy Lee can be contacted via phone (276) 228-1775.

Contact Information

Primary practice address
600 W Ridge Rd Wythe County Community Hospital Wytheville VA 24382-1044
Phone: (276) 228-1775
Fax: (276) 228-1776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101240789 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101240789 Virginia

Profile Details

NPI number 1386706018
LBN Legal business name Mathena, Tracy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2006
Last updated Nov 3rd, 2009 - about 17 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 1386706018 NPPES
Kentucky MEDICAID 7100049800

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