Individual
TRACY BROWN-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
272 CASSIDY TRL, DOUGLASVILLE, GA 30134-5312
(678) 602-6113
Mailing address
272 CASSIDY TRL, DOUGLASVILLE, GA 30134-5312
(678) 602-6113
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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