Individual
MR. JAMES EDWARD TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT,MS,OCS,MTC
Contact information
Practice address
702 CEDAR POINT BLVD, CEDAR POINT, NC 28584-8012
(252) 393-8828
(252) 393-7928
Mailing address
302 CAPE FEAR LOOP, EMERALD ISLE, NC 28594-1811
(252) 393-8828
(252) 393-7928
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3947
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026Q
BLUE CROSS BLUE SHIELD
NC
05
—
720785X
—
NC
Enumeration date
10/02/2006
Last updated
07/09/2007
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