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Organization
T&D HEALTH NETWORK
Active
Organization
T&D HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MIMS (DIRECTOR)
(510) 875-3984
Entity
Organization
Contact information
Practice address
1350 SCENIC HWY N STE 266, SNELLVILLE, GA 30078-7924
(510) 875-3984
Mailing address
1350 SCENIC HWY N STE 266, SNELLVILLE, GA 30078-7924
(510) 875-3984
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
171R00000X
Interpreter
—
NULL
171R00000X
Interpreter
—
—
207ZC0006X
Clinical Pathology Physician
—
NULL
207ZC0006X
Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
246RM2200X
Medical Laboratory Technician
—
NULL
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
—
NULL
246RP1900X
Phlebotomy Technician
—
—
247200000X
Other Technician
—
NULL
247200000X
Other Technician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
NULL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
251E00000X
Home Health Agency
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
342000000X
Transportation Network Company
—
NULL
Other
Enumeration date
12/24/2025
Last updated
05/05/2026
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