Mcdaniels, Deborah Tracy
Mcdaniels, Deborah Tracy is an individual health care provider with primary practice located at 1400 Northside Forsyth Dr Ste 240 , Cumming GA 30041-6017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcdaniels, Deborah Tracy can be contacted via phone (770) 884-0877.Contact Information
Primary practice address
1400 Northside Forsyth Dr Ste 240
Cumming GA 30041-6017
Phone: (770) 884-0877
Fax: (770) 844-0891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN171593 | Georgia |
Profile Details
| NPI number | 1790985885 |
|---|---|
| LBN Legal business name | Mcdaniels, Deborah Tracy |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2007 |
| Last updated | May 18th, 2020 - about 4 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 | 1790985885 | NPPES |
| Georgia | MEDICAID | 003141628A |
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