Individual
TRACIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105
(901) 595-3300
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
(901) 595-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085004390
IL
363A00000X
Physician Assistant
Primary
2417
TN
Other
Enumeration date
09/21/2012
Last updated
07/18/2018
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