Individual
MS. TRACY A PESUT X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9430 PARK WEST BLVD STE 130, KNOXVILLE, TN 37923-4205
(865) 690-4861
(865) 560-8525
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
39766
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3332469
—
TN
Enumeration date
07/15/2006
Last updated
07/11/2025
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