Individual
MR. JOHN TRACY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1139 S MAIN ST, GALAX, VA 24333-4409
(276) 601-2846
Mailing address
1139 S MAIN ST, GALAX, VA 24333-4409
(276) 601-2846
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
245600
NC
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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