Individual provider · Type 1 NPI

Tracie V. Mattox

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1053247601 Active

Practice location

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050

Call (404) 616-1000 Map

Mailing address

3401 S University Dr
Davie, FL 33328-2021

Other practice locations

  • 1000 Johnson Fy Rd NE, Sandy Springs, GA 30342-1611 · (404) 851-8000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053247601

Tracie V. Mattox's National Provider Identifier is 1053247601, issued on Jun 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 22, 2026.