Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | 123591 | GA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 123591 | GA |
Y | 363LG0600X | Nurse Practitioner - Gerontology | RN123591 | GA |
NPI | 1720125834 |
---|---|
Provider Name | Dr. Tracy Cain English |
First Address | Mcdonough, GA 30252-4930 |
Second Address | Mcdonough, GA 30252-4930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 11/01/2020 |