NPI | 1407986540 |
---|---|
Former Name | TRACI HARTSFIELD-MCKIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA GEORGIA#002490) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 002490) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2022-03-17 |