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Search › South Carolina › 183500000X

Tracey Haddock

NPI 1275883845 · on the registry since 2012

Practice

Address
15 W Ashland St
Andrews, SC 29510
Phone
(843) 264-3291
Fax
(843) 264-5425
Organisation at this address
Black River Grocery Llc
Black River Grocery Llc
White Pine Land Company Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina