Individual
TRACI RENEE BILLINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2505 US HIGHWAY 431, BOAZ, AL 35957
(256) 393-3388
Mailing address
2175 BRADLEY AVE, GADSDEN, AL 35903-4651
(256) 393-3388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-157
AL
Other
Enumeration date
09/28/2006
Last updated
04/18/2013
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