Mcfall, Tracy Lynn

Mcfall, Tracy Lynn is an individual health care provider with primary practice located at 109 Bee St Attn: 117, Dept Of Pm&R, Charleston SC 29401-5703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mcfall, Tracy Lynn can be contacted via phone (843) 789-7315.

Contact Information

Primary practice address
109 Bee St Attn: 117, Dept Of Pm&R Charleston SC 29401-5703
Phone: (843) 789-7315
Fax: (843) 789-6211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 15020 South Carolina

Profile Details

NPI number 1386650075
LBN Legal business name Mcfall, Tracy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1386650075 NPPES
South Carolina MEDICAID TL5296

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