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Tracie Chislom
NPI 1801354774 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1002 W Solomon St
Griffin, GA 30223 - Phone
- (678) 557-2613
- Organisation at this address
- Kj Adult Care ,Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 261QA0600X
261QA0600X
- Sex
- Female
- Record last updated
- 2019-03-08
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