Individual
DENISE TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3715 NORTHSIDE PKWY NW, ATLANTA, GA 30327-2882
(770) 938-1757
Mailing address
4002 HIGHWAY 78 W # 530-244, SNELLVILLE, GA 30039-7915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN145879
GA
Other
Enumeration date
04/09/2014
Last updated
03/09/2016
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