Individual
TRACIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8740 RIVERS AVE, NORTH CHARLESTON, SC 29406-9211
(843) 572-5990
Mailing address
8740 RIVERS AVE, NORTH CHARLESTON, SC 29406-9211
(843) 572-5990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2088
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137PA
—
SC
Enumeration date
09/20/2006
Last updated
11/20/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us