Individual
TRACY ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 HARMONY CHURCH RD, SANDERSVILLE, GA 31082-9010
(478) 456-6647
Mailing address
327 HARMONY CHURCH RD, SANDERSVILLE, GA 31082-9010
(478) 456-6647
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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