Dailey, Tracey R

Dailey, Tracey R is an sole proprietor health care provider with primary practice located at 1100 E Walnut Ave Suite 16, Dalton GA 30721-4183. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dailey, Tracey R can be contacted via phone (706) 226-6000.

Contact Information

Primary practice address
1100 E Walnut Ave Suite 16 Dalton GA 30721-4183
Fax: (706) 226-3786
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH016829 Georgia

Profile Details

NPI number 1205834637
LBN Legal business name Dailey, Tracey R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2005
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205834637 NPPES
Georgia Other RPH016829 PHARMACIST LICENSE
Georgia MEDICAID 00932588B PHARMACIST LICENSE
Georgia MEDICAID 00932588A PHARMACIST LICENSE
Georgia Other PHRE008559 PHARMACIST LICENSE

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