Tracy M Fambrough, SA-C
Specialist/Technologist, Other, Surgical Assistant in Nashville, TN. Individual provider (NPI-1).
NPI number1962286641
StatusActive
Last updated in NPPESAug 23, 2023
Details
- NPI
- 1962286641
- Entity type
- Individual (NPI-1)
- Name
- Tracy M Fambrough
- Credential
- SA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2023
- Certification date
- Aug 23, 2023
- Last updated
- Aug 23, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | TN | Yes |
Other names
- Tracy M Hames (Former Name)
Practice location
2000 Glen Echo Rd Ste 111Nashville, TN 37215-2857
Phone 615-657-4805
Mailing address
Po Box 936535Atlanta, GA 31193-6535
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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