Marshall, Tracy

Marshall, Tracy is an sole proprietor health care provider with primary practice located at 255 Grimes Rd , Woodstock GA 30188-6725. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Marshall, Tracy can be contacted via phone (678) 366-6050.

Contact Information

Primary practice address
255 Grimes Rd Woodstock GA 30188-6725
Phone: (678) 366-6050
Fax: (678) 366-6051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 320900000X Georgia

Profile Details

NPI number 1942665567
LBN Legal business name Marshall, Tracy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 25th, 2015
Last updated Dec 25th, 2015 - about 11 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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