Edwards, Tracie Theresa
Edwards, Tracie Theresa is an individual health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Edwards, Tracie Theresa can be contacted via phone (770) 918-3000.Contact Information
Primary practice address
1412 Milstead Ave Ne
Conyers GA 30012-3877
Phone: (770) 918-3000
Fax: (770) 918-3104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN288766 | Georgia |
Profile Details
| NPI number | 1104486711 |
|---|---|
| LBN Legal business name | Edwards, Tracie Theresa |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2019 |
| Last updated | Nov 1st, 2019 - about 7 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.
Popular Providers
-
Mayeta-Peart, Adelaida Larduet
1301 Sigman Rd Ne Ste 230 , Conyers GA 30012-3819 -
Guyton, Danyell Joelle
1412 Milstead Ave Ne , Conyers GA 30012-3877 -
Chigbu, Chinyere
1501 Milstead Rd Ne Ste 110 , Conyers GA 30012-3849 -
Gayle-Smith, Rose
2081 Millstone Dr Sw , Conyers GA 30094-3981 -
Van Dorn, Terri Tonisha
1901 Honey Creek Commons Se , Conyers GA 30013-5806 -
Sojan, Berly
1301 Sigman Rd Ne Ste 230 , Conyers GA 30012-3819 -
Maharaj, Rajendra
1412 Milstead Ave Ne , Conyers GA 30012-3877 -
Cheek, Ashley Shearer
1370 Wellbrook Cir Ne , Conyers GA 30012-3872