Individual
TRACEY GORDON ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2051 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 573-2535
Mailing address
2051 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 573-2535
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3568
SC
Other
Enumeration date
06/16/2009
Last updated
08/18/2015
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