Individual
TRACY MECHELLE HEADRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 MULBERRY LN, TUNNEL HILL, GA 30755-7770
(706) 581-1709
Mailing address
2103 MULBERRY LN, TUNNEL HILL, GA 30755-7770
(706) 581-1709
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
06/11/2019
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