Individual
TRACEY LYNN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 JESSE HILL JR DR SE, FOB SUITE 483, ATLANTA, GA 30303-3049
(404) 251-8908
Mailing address
49 JESSE HILL JR DR SE, FOB SUITE 483, ATLANTA, GA 30303-3049
(404) 251-8908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042583
DC
207R00000X
Internal Medicine Physician
206179
LA
207R00000X
Internal Medicine Physician
390200000XL
LA
207R00000X
Internal Medicine Physician
Primary
75124
GA
Other
Enumeration date
05/06/2011
Last updated
04/18/2016
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