Individual
MRS. TRACY B CANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 HUTCHISON LN, ALBANY, GA 31707-3002
(229) 359-5951
Mailing address
2206 HUTCHISON LN, ALBANY, GA 31707-3002
(229) 359-5951
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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