Organization
ELSE TRACY, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSE TRACY M.D. (PRESIDENT)
(228) 762-7422
Entity
Organization
Contact information
Practice address
5009 TELEPHONE RD, PASCAGOULA, MS 39567-1832
(228) 762-7422
(228) 762-7423
Mailing address
5009 TELEPHONE RD, PASCAGOULA, MS 39567-1832
(228) 762-7422
(228) 762-7423
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MS08472
MS
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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