Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACIA A A WALTERS
Active Sole ProprietorAssisted Living Facility · REX, GA
Registration Details
- NPI Number
- 1275414823
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2025 (0.61119428457658 yrs)
- Last Updated
- Sep 10, 2025
- License
-
25064627 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3327 WAGGONER LNREX, GA, 302735220Browse GA providers · Browse ZIP 30273
- Phone
- 6783537916
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Other Assisted Living Facility Providers in REX, GA
| Name | Credential | NPI |
|---|---|---|
| MS. JUDY MARIE JACKSON | — | 1548671316 |
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.