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Individual

TRACY MARIA GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1300 MICCOSUKEE ROAD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308
(850) 431-0911
(850) 431-0779
Mailing address
1300 MICCOSUKEE ROAD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308
(850) 431-0911
(850) 431-0779

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME115260
FL
207P00000X
Emergency Medicine Physician
TRN14663
FL

Other

Enumeration date
05/03/2010
Last updated
05/22/2013
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