Individual
MRS. TRACI L. HARTSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
660 CHEROKEE ST NE STE 250, MARIETTA, GA 30060-8941
(770) 427-5967
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
002490
GA
363AM0700X
Medical Physician Assistant
Primary
GEORGIA#002490
GA
Other
Enumeration date
03/07/2007
Last updated
03/17/2022
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