Individual
TAMMIE V TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
741 PIEDMONT AVE NE STE 200, ATLANTA, GA 30308-1420
(864) 941-6212
Mailing address
741 PIEDMONT AVE NE STE 200, ATLANTA, GA 30308-1420
(864) 941-6212
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
100624
SC
163WI0500X
Infusion Therapy Registered Nurse
100624
SC
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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