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Tracie Chislom
Adult Day Care Clinic/Center in Griffin, Georgia
NPI 1801354774

Tracie Chislom is an Adult Day Care Clinic/Center based in Griffin, GA and is specialized in Adult Day Care. Tracie Chislom practices in Griffin, GA. The NPI Number for Tracie Chislom is 1801354774 and holds a License No. (Georgia).

The current practice location address for Tracie Chislom is 1002 W Solomon St, Griffin, GA and can be reached out via phone at 678-557-2613.

Location: 1002 W Solomon St, Griffin, GA, 30223-2632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801354774
Provider Name
Tracie Chislom
Credential
Provider Entity Type
Individual
Gender
Female
Address
1002 W Solomon St, Griffin, GA, 30223-2632
Phone Number
678-557-2613
Fax Number
Provider Enumeration Date
03/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1002 W Solomon St
City
Griffin
State
Georgia
Zip
30223-2632
Phone Number
678-557-2613
Fax Number
person
Provider Business Mailing Address Details
Address
1002 W Solomon St
City
Griffin
State
Georgia
Zip
30223-2632
Phone Number
678-557-2613
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
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