Individual provider · Type 1 NPI
Tracie Chislom
Adult Day Care Clinic/Center · Griffin, GA
NPI number
1801354774
Active
Practice location
1002 W Solomon St
Griffin, GA 30223-2632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1801354774
Tracie Chislom's National Provider Identifier is 1801354774, issued on Mar 8, 2019. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Griffin, GA. The record was last updated on Mar 8, 2019.