Search › Georgia › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Tracy Marshall
NPI 1942665567 · on the registry since 2015 · sole proprietor
Practice
- Address
- 255 Grimes Rd
Woodstock, GA 30188 - Phone
- (678) 366-6050
- Fax
- (678) 366-6051
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-25
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