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Contact Information

TRACY HEALTHCARE SERVICES LLC
5464 TILLY MILL RD
DUNWOODY, GA30338-4428
 Phone: 404-502-7165
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Ostomy Care

163WX1500X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for TRACY HEALTHCARE SERVICES LLC

NPI Number 1033980958
LBN Legal business name TRACY HEALTHCARE SERVICES LLC
Authorized official PRESTON ALEXANDER - (CHIEF ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2024
Last updated 01/07/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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