Individual
TRACY MACKAY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153
(540) 772-3450
(540) 772-3458
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4525
(615) 373-7600
(877) 767-2310
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002640
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952598922
BCBS-NC
NC
05
—
1952598922
—
NC
Enumeration date
10/03/2007
Last updated
02/19/2019
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