# T&D HEALTH NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992661763
- **Authorized official:** TRACY MIMS (DIRECTOR)
- **Authorized official phone:** (510) 875-3984

## Contact information

- **Practice address:** 1350 SCENIC HWY N STE 266, SNELLVILLE, GA 30078-7924
- **Practice address phone:** (510) 875-3984
- **Mailing address:** 1350 SCENIC HWY N STE 266, SNELLVILLE, GA 30078-7924
- **Mailing address phone:** (510) 875-3984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |
| 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