Individual
MRS. TRACY CATHERINE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4378 OLEANDER DR STE 6, MYRTLE BEACH, SC 29577-5981
(854) 894-4633
Mailing address
4378 OLEANDER DR, MYRTLE BEACH, SC 29577-5981
(854) 894-4633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28323
SC
Other
Enumeration date
02/01/2024
Last updated
02/06/2024
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