Individual
MS. TRACEY MICHELLE LYONS-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3010 FARROW RD STE 200A, COLUMBIA, SC 29203-7606
(844) 972-7752
(770) 962-3643
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4541
SC
Other
Enumeration date
12/16/2013
Last updated
05/29/2026
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