Organization
CORDRAY PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY L CORDRAY M.D. (OWNER/PHYSICIAN)
(843) 718-2334
Entity
Organization
Contact information
Practice address
2093 HENRY TECKLENBURG DR STE 304, CHARLESTON, SC 29414-5743
(843) 718-2334
(843) 277-2067
Mailing address
44 FOLLY ROAD BLVD STE C, CHARLESTON, SC 29407-7559
(843) 718-2334
(843) 277-2067
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
22185
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346432614
SOLE PROPRIETOR NPI-TYPE 1
—
01
—
22185
STATE LICENSE
—
05
—
30236309
—
SC
Enumeration date
02/22/2017
Last updated
08/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us