Medlin, Tracy

Medlin, Tracy is an individual health care provider with primary practice located at 5150 Stilesboro Rd Nw Suite 430, Kennesaw GA 30152-7744. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Medlin, Tracy can be contacted via phone (770) 218-2300.

Contact Information

Primary practice address
5150 Stilesboro Rd Nw Suite 430 Kennesaw GA 30152-7744
Phone: (770) 218-2300
Fax: (770) 218-2201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT004265 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT004265 Georgia

Profile Details

NPI number 1801043971
LBN Legal business name Medlin, Tracy
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2008
Last updated Feb 28th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801043971 NPPES
Georgia MEDICAID 877080133A

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