Scott, Tracy Mackay

Scott, Tracy Mackay is an individual health care provider with primary practice located at 1802 Braeburn Dr , Salem VA 24153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Scott, Tracy Mackay can be contacted via phone (540) 772-3450.

Contact Information

Primary practice address
1802 Braeburn Dr Salem VA 24153
Phone: (540) 772-3450
Fax: (540) 772-3458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002640 Virginia

Profile Details

NPI number 1952598922
LBN Legal business name Scott, Tracy Mackay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Feb 19th, 2019 - about 7 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 1952598922 NPPES
North Carolina Other 1952598922 BCBS-NC
North Carolina MEDICAID 1952598922 BCBS-NC

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