Individual
TRACI L CROCKETT-TULLY
Active
Individual
TRACI L CROCKETT-TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC, CCS
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
2223353-90
OR
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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