Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY BASTIAANS, DO
Active Sole ProprietorTRACEY BASTIAANS, DO is a Plastic Surgery healthcare provider located in MOULTRIE, Georgia. NPI 1952749582 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · MOULTRIE, GA
Registration Details
- NPI Number
- 1952749582
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2013 (13.166384859933 yrs)
- Last Updated
- Sep 4, 2025
- License
-
OT018067 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 LIVE OAK CTMOULTRIE, GA, 317686783Browse GA providers · Browse ZIP 31768
- Phone
- 2297852400
- Primary Specialty
-
Plastic Surgery
208200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.