Wilson, Tracy

Wilson, Tracy is an individual health care provider with primary practice located at 2100 Comer Ave , Columbus GA 31904-8725. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wilson, Tracy can be contacted via phone (706) 323-0174.

Contact Information

Primary practice address
2100 Comer Ave Columbus GA 31904-8725
Fax: (706) 256-3264
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1881953438
LBN Legal business name Wilson, Tracy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated May 16th, 2012 - about 14 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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