Mcelveen, Tracy L

Mcelveen, Tracy L is an individual health care provider with primary practice located at 1770 Presidential Cir Department Of Radiation Oncology, Snellville GA 30078-5643. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Mcelveen, Tracy L can be contacted via phone (770) 979-3705.

Contact Information

Primary practice address
1770 Presidential Cir Department Of Radiation Oncology Snellville GA 30078-5643
Phone: (770) 979-3705
Fax: (770) 978-9986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 56592 Georgia
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 56592 Georgia

Profile Details

NPI number 1568452621
LBN Legal business name Mcelveen, Tracy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Aug 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568452621 NPPES
Georgia MEDICAID 799593678G

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