Tracy Elaine Powell CANP

NPI 1295853174 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1295853174
Gender Female
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1365B CLIFTON RD NE
SUITE1400
ATLANTA GA, 30322-1013, US
Phone (404) 778-4898
Fax (404) 778-4006
Business Location
102 CAROLINAS WAY
FAYETTEVILLE GA, 30215-8022, US
Phone (678) 817-1659
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Georgia
License Number R092714
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According to our database, Mrs. Tracy Elaine Powell CANP NPI is 1295853174, taxonomy code is 363LA2200X and license number is R092714, license state is located at Georgia. Tracy Elaine Powell CANP physically located at 1365b Clifton Rd Ne, Atlanta GA, 30322-1013. NPI Number Tracy Elaine Powell CANP has the Individual type.

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1295853174 NPI number is provided on an as is basis without warranty of any kind. 1295853174 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Elaine Powell CANP are for informational purposes only.