Individual
TRACEY COUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1105E HAMMOND DRIVE, SUITE 400, 600, 650, ATLANTA, GA 30328-5334
(404) 256-2633
(404) 256-6532
Mailing address
1105E HAMMOND DRIVE, SUITE 400, 600, 650, ATLANTA, GA 30328-5334
(404) 256-2633
(404) 256-6532
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN191714
GA
Other
Enumeration date
05/02/2013
Last updated
10/02/2020
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