Individual
TRACIE TUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2893 HUNTSVILLE HWY, FAYETTEVILLE, TN 37334-6681
(931) 297-5028
Mailing address
2893 HUNTSVILLE HWY, FAYETTEVILLE, TN 37334-6681
(931) 297-5028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2805
TN
Other
Enumeration date
08/20/2015
Last updated
07/19/2016
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