Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY ALISSA ROSENBAUM, DO
ActiveTRACY ALISSA ROSENBAUM, DO is a Family Medicine healthcare provider located in EDISON, Georgia. NPI 1215909361 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EDISON, GA
Registration Details
- NPI Number
- 1215909361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2006 (20.523541917374 yrs)
- Last Updated
- Jul 8, 2007
- License
-
047145 (GA)
Practice Information
- Address
-
19519 HARTFORD STEDISON, GA, 398465803Browse GA providers · Browse ZIP 39846
- Phone
- 2298352238
- Fax
- 2298353032
- Primary Specialty
-
Family Medicine
207Q00000X
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.