Individual
MRS. TRACI A DEVOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2781 TRICOM ST, PALMETTO PEDIATRICS, PA, N CHARLESTON, SC 29406-9170
(843) 797-5600
(843) 572-4872
Mailing address
2781 TRICOM ST, N CHARLESTON, SC 29406-9170
(843) 797-5600
(843) 572-4872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35122644
OH
208000000X
Pediatrics Physician
Primary
40795
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120646
—
OH
05
—
407955
—
SC
Enumeration date
03/27/2012
Last updated
10/04/2017
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