Pavone, Tracy

Pavone, Tracy is an individual health care provider with primary practice located at 3100 Kemble Ave , Brunswick GA 31520-4211. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Pavone, Tracy can be contacted via phone (912) 264-7000.

Contact Information

Primary practice address
3100 Kemble Ave Brunswick GA 31520-4211
Phone: (912) 264-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002697 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 2697 Georgia

Profile Details

NPI number 1881730984
LBN Legal business name Pavone, Tracy
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Apr 13th, 2011 - about 15 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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