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

TRACIE CHISLOM

Active Sole Proprietor

TRACIE CHISLOM is a Adult Day Care Facility healthcare provider located in GRIFFIN, Georgia. NPI 1801354774 is currently active in the NPPES registry. Verify at CMS.

Adult Day Care Facility · GRIFFIN, GA

Registration Details

NPI Number
1801354774
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2019 (7.4667898050012 yrs)
Last Updated
Mar 8, 2019
Sole Proprietor
Yes

Practice Information

Address
1002 W SOLOMON ST
GRIFFIN, GA, 302232632
Browse GA providers · Browse ZIP 30223
Phone
6785572613
Primary Specialty
Adult Day Care Facility
261QA0600X
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.