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Individual

DR. TRACY L MCELVEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1770 PRESIDENTIAL CIR, DEPARTMENT OF RADIATION ONCOLOGY, SNELLVILLE, GA 30078-5643
(770) 979-3705
(770) 978-9986
Mailing address
PO BOX 116470, ATLANTA, GA 30368-6470
(770) 979-3705
(770) 978-9986

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
56592
GA
2085R0001X
Radiation Oncology Physician
Primary
56592
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
799593678G
GA
Enumeration date
10/28/2005
Last updated
08/25/2015
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