Individual provider · Type 1 NPI

Tracey Gordon Atherton, PNP

Pediatric Nurse Practitioner · Charleston, SC

NPI number 1669609798 Active

Practice location

2051 Charlie Hall Blvd
Charleston, SC 29414-5834

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X3568 (SC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1669609798

Tracey Gordon Atherton, PNP's National Provider Identifier is 1669609798, issued on Jun 16, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charleston, SC. The record was last updated on Aug 18, 2015.