TRACEY RICHARDSON

GREENVILLE, NC
NPI1902099716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  2013-00205)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  ME100735)
207Q00000X Family Medicine
(Licence: HI  MD15845)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  TRN9975)
Enumeration Date2007-08-24
Last Update Date2014-08-08
Business Address
-- TRACEY RICHARDSON M.D.
261 BELVOIR HWY
GREENVILLE, NC 27834-8193
Phone number: 252-695-6352
Mailing Address
-- TRACEY RICHARDSON M.D.
7 PROFESSIONAL DR
SNOW HILL, NC 28580-1332
Phone number: 252-747-8162