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DR. TRACY LEIGH CORDRAY M.D.

Physicians - Surgery Plastic and Reconstructive Surgery

Charleston, South Carolina

Provider NPI: 1346432614

Provider Information:
DR. TRACY LEIGH CORDRAY M.D.


Practice Location:
44 FOLLY ROAD BLVD STE C  CHARLESTON, SC 29407 US
Tel: 843-718-2334  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2086S0122XPhysicians
Surgery
Plastic and Reconstructive Surgery
SC22185
N208200000XPhysicians
Plastic Surgery
CAA79618

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTANSC5037G677SC01
INDIVIDUAL NPI1346432614SC01
30236309SC05
TAX ID813653106SC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



RECONSTRUCTIVE SURGERY JOBS SC - Page 1



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