Doctor Name: | TRACY E NAILOR |
NPI Number: | 1831215714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 044659 |
Business Practice Address: | 1800 Howell Mill Rd Nw Suite 130 Atlanta, GA - 303182538 |
Business Phone Number: | 4043558775 |
Business Fax Number: | |
Mailing Address: | 1800 Howell Mill Rd Nw, Suite 130 ATLANTA |
State: | GA |
Postal Code: | 303182538 |
Phone Number: | 4043558775 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 08/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 044659 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |