Individual
TRACI MCLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10203 LUCAS FERRY RD STE B, TANNER, AL 35671-3406
(256) 233-0202
Mailing address
25898 IRON GATE DR, MADISON, AL 35756-3041
(256) 233-0202
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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