Individual
MRS. TRACY LYNETTE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3014 GRAY HWY STE 3, MACON, GA 31211-6687
(478) 390-1172
Mailing address
3014 GRAY HWY STE 3, MACON, GA 31211-6687
(478) 390-1172
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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