Individual
MRS. TRACIE D. GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5566
(228) 809-5414
Mailing address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901889
MS
Other
Enumeration date
01/06/2017
Last updated
11/08/2021
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