DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TRACIE WARREN

MEDICARE: TRACIE WARREN
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
1363A00000XPhysician Assistant2088SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588762835
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACIE WARREN
Provider Business Mailing Address
First Line : 8740 RIVERS AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9211
Country : US
Telephone Number : 843-572-5990
Fax Number :
Provider Business Practice Location Address
First Line : 8740 RIVERS AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9211
Country : US
Telephone Number : 843-572-5990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 11/20/2015

Similar Medicare Providers

1861864431 — STEFANIE ANN MAUNEY PA
Practice Location Address:
8740 RIVERS AVE
NORTH CHARLESTON, SC
29406-9211
Practice Phone: 843-572-5990
Practice Fax:
1013914126 — GEORGE L CLARK D.O.
Practice Location Address:
8740 RIVERS AVE
NORTH CHARLESTON, SC
29406-9211
Practice Phone: 843-572-5990
Practice Fax: 843-572-2928
1215994850 — GASTON G MACHADO MD
Practice Location Address:
8740 RIVERS AVE
NORTH CHARLESTON, SC
29406-9211
Practice Phone: 843-572-5990
Practice Fax: 843-572-2928
1487687448 — HEALTH FIRST RAPID CARE, INC.
Practice Location Address:
8740 RIVERS AVENUE
NORTH CHARLESTON, SC
29406-9211
Practice Phone: 843-572-5990
Practice Fax: 843-572-2928
1649461138 — HENRY B SPRADLIN PA
Practice Location Address:
8740 RIVERS AVE
NORTH CHARLESTON, SC
29406-9211
Practice Phone: 843-572-5990
Practice Fax: 843-572-2928
1811165368 — HEALTHFIRST RAPID CARE
Practice Location Address:
8740 RIVERS AVE
NORTH CHARLESTON, SC
29406-9211
Practice Phone: 843-572-5990
Practice Fax:

Directions to “ TRACIE WARREN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.