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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY CROCKETT, P.A.

Active

TRACY CROCKETT, P.A. is a Medical Physician Assistant healthcare provider located in ATHENS, Georgia. NPI 1184626996 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ATHENS, GA

Registration Details

NPI Number
1184626996
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2005 (20.824377261045 yrs)
Last Updated
Feb 20, 2013
License
1763 (GA)

Practice Information

Address
2470 DANIELS BRIDGE RD
BLDG 200 SUITE 251
ATHENS, GA, 306066187
Browse GA providers · Browse ZIP 30606
Phone
7063893440
Fax
7063532771
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in ATHENS, GA

Name Credential NPI
CHARLES FRANK DAVIS PA 1952397564
JEREMY BAGGE PA-C 1023085974
RISHIA L BROWN PA-C 1922046267
JULIE A PUDER PA-C 1003836891
SHERRY MAE PARMER PA-C 1396841516
TWANYA J MAY PAC 1417099870
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.