Individual
JACQUELINE TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEDICAL PARK DR, SUITE 430, CONCORD, NC 28025-2982
(704) 403-7070
Mailing address
200 MEDICAL PARK DRIVE, CONCORD, NC 28025
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2015-01537
NC
Other
Enumeration date
04/24/2007
Last updated
09/21/2018
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