Individual provider · Type 1 NPI

Tracy Lynn Vercillo, RN

Addiction (Substance Use Disorder) Registered Nurse · Lagrange, GA

NPI number 1679031710 Active

Practice location

229 S Davis Rd Ste 900
Lagrange, GA 30241-2609

Mailing address

1140 Pyne Rd
Lagrange, GA 30240-6624

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400XRN085566 (GA)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1679031710

Tracy Lynn Vercillo, RN's National Provider Identifier is 1679031710, issued on Mar 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Lagrange, GA. The record was last updated on Mar 7, 2019.