St. Julian, Tracey Lynn
St. Julian, Tracey Lynn is an individual health care provider with primary practice located at 300 Glynn Street South , Fayetteville GA 30214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. St. Julian, Tracey Lynn can be contacted via phone (770) 629-2702.Contact Information
Primary practice address
300 Glynn Street South
Fayetteville GA 30214
Phone: (770) 629-2702
Fax: (770) 909-5004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 054127 | Georgia |
Profile Details
| NPI number | 1306901467 |
|---|---|
| LBN Legal business name | St. Julian, Tracey Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | May 17th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306901467 | NPPES |
| Georgia | MEDICAID | 547811054A |
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