Organization
TRACY HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRESTON ALEXANDER (CHIEF ADMINISTRATIVE OFFICER)
(404) 502-7165
Entity
Organization
Contact information
Practice address
5464 TILLY MILL RD, DUNWOODY, GA 30338-4428
(404) 502-7165
Mailing address
5464 TILLY MILL RD, DUNWOODY, GA 30338-4428
(404) 502-7165
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
163WX1500X
Ostomy Care Registered Nurse
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/07/2025
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