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Individual

TRACY LYNN LITTLEPAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
59 HOSPITAL RD, NEWNAN, GA 30263-1209
(678) 423-4610
(770) 254-7419
Mailing address
59 HOSPITAL RD, NEWNAN, GA 30263-1209
(678) 423-4610
(770) 254-7419

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN097912
GA

Other

Enumeration date
04/24/2020
Last updated
04/24/2020
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