Tracy Crockett, P.A.

NPI #1184626996 in Athens, Georgia

Provider Information

NPI Number
1184626996
Entity Type
Individual
Name
Tracy Crockett, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
Aug 11, 2005
Last Updated
Feb 20, 2013

Practice Location

Address
2470 DANIELS BRIDGE RD
Address 2
BLDG 200 SUITE 251
City
Athens
State
Georgia
ZIP Code
30606-6187
Phone
(706) 389-3440

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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