SearchGeorgia163W00000X

Traci Mackey

NPI 1467345603 · on the registry since 2025

Practice

Address
1000 Grant St Unit 1803
Stone Mountain, GA 30083
Phone
(678) 201-4797

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia