MEDICARE: FREEMAN & TRACY CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1649967373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEMAN & TRACY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	503 CTR WAY
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27292
Country	:	US
Telephone Number	:	704-780-2488
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 W US HIGHWAY 64 STE 1
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-2508
Country	:	US
Telephone Number	:	363-243-5433
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSISCIAN
Name	:	DR. NATHAN TED TRACY
Credential	:	DC
Telephone Number	:	704-780-2488

Provider Enumeration Date	:	04/21/2023
Last Update Date	:	04/21/2023

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Directions to “FREEMAN & TRACY CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

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