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Tracey Manasco

NPI 1316181100 · on the registry since 2009

Practice

Address
412 Drive In Lane, Unit D
Moncks Corner, SC 29461
Phone
(843) 761-6732
Fax
(843) 761-6734

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-04-24

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