Individual
MRS. TRACY ANN MARCELLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 STONEWALL ST, CARTERSVILLE, GA 30120-3628
(770) 382-1907
Mailing address
218 STONEWALL ST, CARTERSVILLE, GA 30120-3628
(770) 382-1907
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN076423
GA
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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