Individual
TRACY HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 722-1985
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 722-1985
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
12933
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129337
—
SC
Enumeration date
07/05/2006
Last updated
07/01/2016
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