Tracey M Mckinzie P.A.

NPI 1265703581 - Physician Assistant - 363A00000X

NPI Details
NPI 1265703581
Gender Female
Enumeration Date 01/18/2012
Last Updated 01/18/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
1911 S 17TH ST
SUITE 130-A
WILMINGTON NC, 28401-6662, US
Phone (910) 790-7840
Fax
Business Location
1911 S 17TH ST
SUITE 130-A
WILMINGTON NC, 28401-6662, US
Phone (910) 790-7840
Fax
Toxanomy
Taxonomy Code 363A00000X
License State North Carolina
License Number 0010-03337
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According to our database, Miss Tracey M Mckinzie P.A. NPI is 1265703581, taxonomy code is 363A00000X and license number is 0010-03337, license state is located at North Carolina. Tracey M Mckinzie P.A. physically located at 1911 S 17th St, Wilmington NC, 28401-6662. NPI Number Tracey M Mckinzie P.A. has the Individual type.

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1265703581 NPI number is provided on an as is basis without warranty of any kind. 1265703581 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey M Mckinzie P.A. are for informational purposes only.