Individual
TRACY C ECHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9035 KELLY BRIDGE RD, DAWSONVILLE, GA 30534-4955
(770) 480-1311
Mailing address
9035 KELLY BRIDGE RD, DAWSONVILLE, GA 30534-4955
(770) 480-1311
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
153136
GA
Other
Enumeration date
05/13/2015
Last updated
02/03/2020
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