Copeland, Tracey Lashae
Copeland, Tracey Lashae is an sole proprietor health care provider with primary practice located at 139 Ralph Mcgill Blvd Ne # 5 , Atlanta GA 30308-3339. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Copeland, Tracey Lashae can be contacted via phone (404) 804-2997.Contact Information
Primary practice address
139 Ralph Mcgill Blvd Ne # 5
Atlanta GA 30308-3339
Phone: (404) 804-2997
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | Georgia |
Profile Details
| NPI number | 1265047674 |
|---|---|
| LBN Legal business name | Copeland, Tracey Lashae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2020 |
| Last updated | Sep 11th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265047674 | NPPES |
| Georgia | MEDICAID | 83-12510959 |
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