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Individual
TRACEY RICHARDSON
Active
Individual
TRACEY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013-00205
NC
207Q00000X
Family Medicine Physician
MD15845
HI
207Q00000X
Family Medicine Physician
ME100735
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN9975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922865
—
NC
Enumeration date
08/24/2007
Last updated
08/08/2014
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