Individual
TRACY KELECAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8311 WARREN H ABERNATHY HWY, SUITE 300 REGIONAL HEALTHPLUS, SPARTANBURG, SC 29301-1249
(864) 560-9696
(864) 562-5230
Mailing address
PO BOX 2168, SUITE 300 REGIONAL HEALTHPLUS, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18527
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2845
—
SC
Enumeration date
02/22/2014
Last updated
09/24/2014
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