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Contact Information

TRACY TYSON, MD
11 CREST RD
SAINT ALBANS CITY, VT05478-9701
 Phone: 802-527-8189
 Fax: 802-527-8187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TRACY TYSON · (Female)

NPI Number 1205865045
Status Active
Credentials MD
Entity Individual
Enumeration date 07/02/2006
Last updated 06/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME96031
  • FL Medicaid 275570000
  • GA Medicaid 202194472A
  • FL Other 57012 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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