Individual
MRS. TRACEY Q LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
3328 BEMISS RD, VALDASTA, GA 31605
(229) 469-6137
(229) 469-6139
Mailing address
3328 BEMISS RD, VALDASTA, GA 31605
(229) 469-6137
(229) 469-6139
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN130337
GA
363LA2200X
Adult Health Nurse Practitioner
RN130337 NP
GA
Other
Enumeration date
02/04/2011
Last updated
11/30/2021
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