White, Tracy

White, Tracy is an sole proprietor health care provider with primary practice located at 7367 Spout Springs Rd Suite 125, Flowery Branch GA 30542-5519. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. White, Tracy can be contacted via phone (770) 965-1861.

Contact Information

Primary practice address
7367 Spout Springs Rd Suite 125 Flowery Branch GA 30542-5519
Phone: (770) 965-1861
Fax: (770) 965-1863
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT005968 Georgia

Profile Details

NPI number 1396149324
LBN Legal business name White, Tracy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2014
Last updated Oct 20th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396149324 NPPES
Other OT005968 GA SECRETARY OF STATE LICENSING BOARD

Popular Providers