Individual
TRACY LYNN TOWNSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1246 NIXON DR, ALBANY, GA 31705-9587
(229) 903-9778
Mailing address
1246 NIXON DR, ALBANY, GA 31705-9587
(229) 903-9778
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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