Individual
TRACY FOSSAS BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5471 CHAMBLEE DUNWOODY RD, DUNWOODY, GA 30338-4114
(770) 481-0889
Mailing address
5471 CHAMBLEE DUNWOODY RD, DUNWOODY, GA 30338-4114
(770) 481-0889
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006353
GA
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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