Individual
TRACELA VADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 S COLLEGE ST, STE 500, CHARLOTTE, NC 28202-2012
(704) 302-8800
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200300207
NC
207R00000X
Internal Medicine Physician
22945
SC
Other
Enumeration date
07/10/2006
Last updated
09/25/2020
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