Individual
TRACIE COGDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 ARROWHEAD BLVD BLDG SUITE2A, JONESBORO, GA 30236-1169
(404) 720-5359
Mailing address
1904 WATERCREST DR, JONESBORO, GA 30236-8031
(404) 720-5359
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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