NPI 1295927226

Tracey F Petrides, MD

Practitioner Family Medicine Physician Southaven, MS

Practice location

Address: 5779 Getwell Road Building D, Suite 3, Southaven, MS 38672
Phone: (662) 510-6507
Fax: (662) 510-6508

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 17839 (MS)

Other Family Medicine providers in Mississippi →

Registry record

NPI: 1295927226
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2007
Record last updated: 28 Feb 2012

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.