Individual
TRACY HENDERSHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 ELIZABETH PIKE, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23784
WV
Other
Enumeration date
06/23/2008
Last updated
04/07/2022
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