NPI 1013136415

Jacqueline Tracey

Practitioner Surgery Physician Concord, NC

Practice location

Address: 200 Medical Park Dr Suite 430, Concord, NC 28025-2982
Phone: (704) 403-7070
Mailing address: 200 Medical Park Drive, Concord, NC 28025

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 2015-01537 (NC)

Other Surgery providers in North Carolina →

Registry record

NPI: 1013136415
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2007
Record last updated: 21 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.