Individual
MS. TRACY JONES MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
940 HIGHWAY 96 STE A, WARNER ROBINS, GA 31088-2587
(478) 988-1222
(478) 988-1241
Mailing address
219 BLUEBIRD LN, PERRY, GA 31069-9389
(478) 988-1222
(478) 988-1241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
056838
GA
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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