Individual
TRACI SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 MEDICAL PARK BLVD, BRISTOL, TN 37620-7343
(423) 989-4050
Mailing address
208 MEDICAL PARK BLVD, BRISTOL, TN 37620-7343
(423) 989-4050
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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