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Individual

TRACIE A TRAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
250 CHEROKEE PROFESSIONAL PARK, MARYVILLE, TN 37804-5153
(865) 681-0103
(865) 681-9840
Mailing address
250 CHEROKEE PROFESSIONAL PARK, MARYVILLE, TN 37804-5153
(865) 681-0103
(865) 681-9840

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
29145
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q008290
TN
Enumeration date
08/07/2006
Last updated
10/13/2022
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