TRACEY M FORTNER

LOGANVILLE, GA
NPI1487122065
Professional NameTRACEY M FORTNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN164997)
Enumeration Date2018-11-13
Last Update Date2018-11-13
Business Address
TRACEY M FORTNER FNP-BC
1103 MASON LEE AVE
LOGANVILLE, GA 30052-8635
Phone number: 678-315-7151
Mailing Address
TRACEY M FORTNER FNP-BC
1103 MASON LEE AVE
LOGANVILLE, GA 30052-8635
Phone number: 678-315-7151
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