DR. TRACY LEIGH CORDRAY


Address: 44 Folly Road Blvd Ste C, Charleston, SC 29407-7559
Phone: 8437182334

DR. TRACY LEIGH CORDRAY (NPI# 1346432614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346432614
Entity Type Individual
Full Name DR. TRACY LEIGH CORDRAY
Credential M.D.
Practice Address 44 Folly Road Blvd Ste C
Charleston
SC 29407-7559
Practice Telephone 8437182334
Practice Fax Number 8432772067
Mailing Telephone 8437182334
Mailing Fax Number 8432772067
Enumeration Date 2007-08-10
Last Update Date 2017-12-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208200000X Plastic Surgery A79618 CA Allopathic & Osteopathic Physicians
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
22185 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC TAX ID 813653106 01
SC MEDICARE PTAN SC5037G677 01
SC INDIVIDUAL NPI 1346432614 01
SC 30236309 05

Office Location

Street Address 44 FOLLY ROAD BLVD STE C
City CHARLESTON
State SC
Zip Code 29407-7559

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225577265 Cordray Plastic Surgery LLC Plastic Surgery 44 Folly Road Blvd Ste C, Charleston, SC 29407-7559 2017-02-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437763661 Charleston Jaw Surgery Oral & Maxillofacial Surgery 846 St. Andrews Blvd., Charleston, SC 29407 2020-09-04
1780225128 New Endeavors Counseling Social Worker 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 2019-10-07
1770063158 Katelyn Campbell Psychologist 1 Carriage Ln Ste 102, Charleston, SC 29407 2018-08-15
1164929956 Anisha Gulati Md LLC Psychiatry & Neurology 925 Wappoo Rd., Suite F, Charleston, SC 29407 2018-04-09
1316459753 David W Richardson Dentist 765 St. Andrews Blvd., Charleston, SC 29407 2017-10-25
1457874174 Meca Mentality LLC Chiropractor 1106 St Andrews Blvd Suite A, Charleston, SC 29407 2017-07-25
1639609373 Carolina Behavioral Specialists, LLC Behavioral Analyst 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 2017-06-15
1467991901 Bernice Ladson Registered Nurse 75o Magnolia Road, Charleston, SC 29407 2017-02-16
1376991257 Virginia Leigh Thomason Counselor 29 Leinbach Dr, Suite D2, Charleston, SC 29407 2016-06-01
1609221001 Elinor Lee Smith Counselor 571 Savannah Hwy, Charleston, SC 29407 2016-05-04
Find all providers in zip 29407

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346365418 William Aaron Ross Surgery 210 Brooks St, Suite 200, Charleston, WV 25301-1855 2007-03-20
1780797449 Marcelo L. Hochman Surgery 2097 Henry Techlenburg Dr, Suite 212 West, Charleston, SC 29416-5739 2006-08-16
1811980113 Abdalla Zackaria Bandak Surgery 4920 Maccorkle Ave Se, Charleston, WV 25304-2052 2005-08-23
1891223012 Sami Paul Tarabishy Surgery 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 2017-06-01
1336328467 John David Hayes Surgery 210 Brooks St, Suite 200, Charleston, WV 25301-1855 2007-10-25
1457564213 Bandak Plastic Surgery Pllc Surgery 4920 Maccorkle Ave Se, Charleston, WV 25304-2052 2007-05-08
1871669390 The Facial Surgery Center Surgery 2097 Henry Tecklenburg Dr, Suite 211 West, Charleston, SC 29414-5740 2006-11-27
1215042155 Seung-jun O Surgery 2097 Henry Tecklenburg Dr, Suite 211 West, Charleston, SC 29414-5740 2006-08-20
1760405336 John Robinson Surgery 171 Ashley Ave, Charleston, SC 29425-0001 2006-07-25
1184655862 Tracy Harvey Surgery 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 2006-07-05
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29407

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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