Individual
DR. TRACI LYNN THOUREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 MERIDIAN PKWY STE 323, DURHAM, NC 27713-4232
(984) 227-8902
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200201013
NC
207P00000X
Emergency Medicine Physician
D0063407
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408473000
—
MD
Enumeration date
06/18/2006
Last updated
04/06/2022
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