Individual
MR. TRACY DELANE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABC CO, AL & TN LO
Contact information
Practice address
2905 BOB WALLACE AVE SW STE B, HUNTSVILLE, AL 35805-4166
(256) 203-2647
(256) 203-2565
Mailing address
2905 BOB WALLACE AVE SW STE B, HUNTSVILLE, AL 35805-4166
(256) 203-2647
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
72
AL
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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