Individual
TRACEY R LEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 BOULEVARD NE, STE 224, ATLANTA, GA 30312-1200
(404) 265-6888
(404) 880-0807
Mailing address
315 BOULEVARD NE, STE 224, ATLANTA, GA 30312-1200
(404) 265-6888
(404) 880-0807
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
GA050723
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000934227D
—
GA
Enumeration date
04/13/2006
Last updated
10/23/2014
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