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TRACI L HEDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
LEE ST FL 1, CHARLOTTESVILLE, VA 22908-0001
(434) 243-9970
(434) 924-2520
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101237416
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116014789
VA

Other

Enumeration date
05/04/2007
Last updated
06/01/2010
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