Individual
MRS. DEBORAH TRACY MCDANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR STE 240, CUMMING, GA 30041-6017
(770) 884-0877
(770) 844-0891
Mailing address
1400 NORTHSIDE FORSYTH DR STE 240, CUMMING, GA 30041-6017
(770) 844-0877
(770) 844-0891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN171593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003141628A
—
GA
Enumeration date
07/18/2007
Last updated
05/18/2020
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