Individual
TRACY D CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 W. NORTHWEST BLVD, WINSTON SALEM, NC 27101
(336) 722-4000
(336) 722-8003
Mailing address
284 EXECUTIVE PARK DR, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
75288
NC
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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