Individual
TRACI MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GRANT ST UNIT 1803, STONE MOUNTAIN, GA 30083-1133
(678) 201-4797
Mailing address
1000 GRANT ST UNIT 1803, STONE MOUNTAIN, GA 30083-1133
(678) 201-4797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN301245
GA
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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