Individual
MRS. TRACY ELAINE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CANP
Contact information
Practice address
1365B CLIFTON RD NE, SUITE1400, ATLANTA, GA 30322-1013
(404) 778-4898
(404) 778-4006
Mailing address
102 CAROLINAS WAY, FAYETTEVILLE, GA 30215-8022
(678) 817-1659
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R092714
GA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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