Individual
DR. TRACY DAWN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8203 NIGELS DR, SUITE 100, MYRTLE BEACH, SC 29572-4177
(843) 449-5848
(843) 692-0841
Mailing address
8203 NIGELS DR, SUITE 100, MYRTLE BEACH, SC 29572-4177
(843) 449-5848
(843) 692-0841
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19993
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T40925
—
SC
Enumeration date
09/08/2006
Last updated
01/12/2011
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