Individual
MRS. TRACY DISHON MCGARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,ADMINISTRATOR
Contact information
Practice address
3295 RIVER EXCHANGE DR, PEACHTREE CORNERS, GA 30092-4241
(404) 488-4821
Mailing address
1108 WESLEY STONECREST CIR, LITHONIA, GA 30038-2567
(404) 488-4821
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN270799
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
853164851
INSURERS
GA
Enumeration date
09/28/2021
Last updated
09/28/2021
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