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
Fax: (770) 909-5004
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306901467 NPPES
Georgia MEDICAID 547811054A

Popular Providers