TRACEY BASTIAANS

MOULTRIE, GA
NPI1952749582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208200000X Plastic Surgery
(Licence: PA  OT018067)
Enumeration Date2013-06-05
Last Update Date2023-07-28
Business Address
Dr. TRACEY BASTIAANS D.O.
4 LIVE OAK CT
MOULTRIE, GA 31768-6783
Phone number: 229-785-2400
Mailing Address
Dr. TRACEY BASTIAANS D.O.
PO BOX 2876
MOULTRIE, GA 31776-2876
Phone number: 229-891-9131