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Individual

TRACEE M COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1342 CASCADE FALLS CT SW, ATLANTA, GA 30311-3671
(404) 483-1463
Mailing address
1342 CASCADE FALLS CT SW, ATLANTA, GA 30311-3671
(404) 483-1463

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN194022
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN194022
REGISTERED PROFESSIONAL NURSES LICENSE
GA
Enumeration date
05/19/2026
Last updated
05/19/2026
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