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TRACY PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
771 OLD NORCROSS RD STE 200, LAWRENCEVILLE, GA 30046-4980
(770) 339-1387
Mailing address
160 PROVIDENCE DR, COVINGTON, GA 30016-9089

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN201965
GA
363LF0000X
Family Nurse Practitioner
RN201965
GA

Other

Enumeration date
09/17/2014
Last updated
06/28/2024
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