Copeland, Tracey Lashae

Copeland, Tracey Lashae is an sole proprietor health care provider with primary practice located at 139 Ralph Mcgill Blvd Ne # 5 , Atlanta GA 30308-3339. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Copeland, Tracey Lashae can be contacted via phone (404) 804-2997.

Contact Information

Primary practice address
139 Ralph Mcgill Blvd Ne # 5 Atlanta GA 30308-3339
Phone: (404) 804-2997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X Georgia

Profile Details

NPI number 1265047674
LBN Legal business name Copeland, Tracey Lashae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2020
Last updated Sep 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265047674 NPPES
Georgia MEDICAID 83-12510959

Popular Providers