Sills, Tracey Patrice

Sills, Tracey Patrice is an sole proprietor health care provider with primary practice located at 4195 S Lee St D, Buford GA 30518-3428. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sills, Tracey Patrice can be contacted via phone (770) 831-5659.

Contact Information

Primary practice address
4195 S Lee St D Buford GA 30518-3428
Fax: (770) 831-7714
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 039673 Georgia

Profile Details

NPI number 1629154067
LBN Legal business name Sills, Tracey Patrice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2006
Last updated Jun 20th, 2014 - about 10 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 1629154067 NPPES
Georgia MEDICAID 000664881G

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