Individual
TRACY R TRAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLT
Contact information
Practice address
9005 TWO NOTCH RD STE 22, COLUMBIA, SC 29223-5850
(803) 629-1937
(803) 724-4535
Mailing address
208 MERRIMONT DR, BLYTHEWOOD, SC 29016-6802
(803) 629-3199
(803) 724-4535
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42D2135327
SC
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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