Chislom, Tracie

Chislom, Tracie is an sole proprietor health care provider with primary practice located at 1002 W Solomon St , Griffin GA 30223-2632. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as her primary health care specialty. Chislom, Tracie can be contacted via phone (678) 557-2613.

Contact Information

Primary practice address
1002 W Solomon St Griffin GA 30223-2632
Phone: (678) 557-2613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1801354774
LBN Legal business name Chislom, Tracie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2019
Last updated Mar 8th, 2019 - about 5 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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