Individual
MS. TRACY LYNN GAUDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2239
TN
363AS0400X
Surgical Physician Assistant
Primary
2239
TN
363AS0400X
Surgical Physician Assistant
PA02533
TX
Other
Enumeration date
05/04/2006
Last updated
07/16/2025
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