Woodward, Tracie Mixon

Woodward, Tracie Mixon is an sole proprietor health care provider with primary practice located at 305 W Bobo Newsom Highway , Hartsville SC 29550. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is her primary health care specialty. Woodward, Tracie Mixon can be contacted via phone (843) 309-3028.

Contact Information

Primary practice address
305 W Bobo Newsom Highway Hartsville SC 29550
Phone: (843) 309-3028
Fax: (843) 309-3029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 173940 Tennessee
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 18982 South Carolina

Profile Details

NPI number 1568701100
LBN Legal business name Woodward, Tracie Mixon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2013
Last updated Apr 27th, 2018 - about 8 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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