Tracey Bastiaans, DO

NPI #1952749582 in Moultrie, Georgia

Provider Information

NPI Number: 1952749582
Entity Type: Individual
Name: Tracey Bastiaans, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Plastic Surgery
Credential: DO
Enumeration Date: Jun 5, 2013
Last Updated: Sep 4, 2025

Practice Location

Address: 4 LIVE OAK CT
City: Moultrie
State: Georgia
ZIP Code: 31768-6783
Phone: (229) 785-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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