Provider Demographics
NPI:1831382373
Name:DOZIER, TRACY M (MD)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:M
Last Name:DOZIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TRACY
Other - Middle Name:MERRILL
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 11589
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37401-2589
Mailing Address - Country:US
Mailing Address - Phone:423-778-3274
Mailing Address - Fax:423-778-2255
Practice Address - Street 1:979 EAST THIRD STREET
Practice Address - Street 2:SUITE B-601
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3316
Practice Address - Country:US
Practice Address - Phone:423-778-8179
Practice Address - Fax:423-778-8180
Is Sole Proprietor?:No
Enumeration Date:2007-08-18
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46023207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine