Flory, Tracy W.

Flory, Tracy W. is an individual health care provider with primary practice located at Clark-Holder Clinic, P.A. 303 Smith Street, Lagrange GA 30240. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Flory, Tracy W. can be contacted via phone (706) 882-8831.

Contact Information

Primary practice address
Clark-Holder Clinic, P.A. 303 Smith Street Lagrange GA 30240
Phone: (706) 882-8831
Fax: (706) 812-4091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 134967 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 134967 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 134967 Georgia

Profile Details

NPI number 1932145125
LBN Legal business name Flory, Tracy W.
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932145125 NPPES
Alabama MEDICAID 891011290
Alabama MEDICAID 00944435B

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