Individual
TRACY M FAMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
2000 GLEN ECHO RD STE 111, NASHVILLE, TN 37215-2857
(615) 657-4805
Mailing address
PO BOX 936535, ATLANTA, GA 31193-6535
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
TN
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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