Individual
TRACY DEMOCKER FENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-4700
(615) 322-3000
Mailing address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
59933
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
10/15/2020
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