Individual
DR. TRACY LYNN MCFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
109 BEE ST, ATTN: 117, DEPT OF PM&R, CHARLESTON, SC 29401-5703
(843) 789-7315
(843) 789-6211
Mailing address
109 BEE ST, ATTN: 117, DEPT OF PM&R, CHARLESTON, SC 29401-5703
(843) 789-7315
(843) 789-6211
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
15020
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL5296
—
SC
Enumeration date
08/01/2006
Last updated
07/08/2007
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