Healthcare Provider Details

I. General information

NPI: 1841290004
Provider Name (Legal Business Name): TRACY F BARRETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N DUNLAP ST
MEMPHIS TN
38103-2800
US

IV. Provider business mailing address

8010 STAGE HILLS BLVD
BARTLETT TN
38133-4032
US

V. Phone/Fax

Practice location:
  • Phone: 901-869-5708
  • Fax:
Mailing address:
  • Phone: 901-291-2400
  • Fax: 901-379-0771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number38426
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: