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Individual

TRACIE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1136 KINCAID BRIDGE RD STE A, WINNSBORO, SC 29180-7116
(803) 635-1052
(803) 712-9724
Mailing address
500 LAKESHORE PKWY, ROCK HILL, SC 29730-4273
18039099751

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20610
SC

Other

Enumeration date
06/14/2017
Last updated
11/17/2022
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