Individual
DR. TRACY D. MACPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 HOLLY ST NE, ORANGEBURG, SC 29115-4930
(803) 536-2725
(803) 534-1441
Mailing address
940 HOLLY ST NE, ORANGEBURG, SC 29115-4930
(803) 536-2725
(803) 534-1441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14209
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0966
—
SC
Enumeration date
07/11/2005
Last updated
03/17/2011
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