Organization
TWTCW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY POWELL OPERATING PARTNER (OPERATING PARTNER)
(470) 990-6555
Entity
Organization
Contact information
Practice address
371 E PACES FERRY RD NE STE 125, ATLANTA, GA 30305-4286
(470) 312-2141
(470) 312-2141
Mailing address
371 E PACES FERRY RD NE STE 125, ATLANTA, GA 30305-4286
(470) 312-2141
(470) 312-2141
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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