| Tracy C Wilson, MED | |
|
215 Bradley St, Carrollton, GA 30117-3217 | |
| (770) 832-9140 | |
| (770) 832-3046 |
| Full Name | Tracy C Wilson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 215 Bradley St, Carrollton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033256938 | NPI | - | NPPES |
| 844101180A | Medicaid | GA | |
| 11643300 | Other | GA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2748 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy C Wilson, MED 215 Bradley St, Carrollton, GA 30117-3217 Ph: (770) 832-9140 | Tracy C Wilson, MED 215 Bradley St, Carrollton, GA 30117-3217 Ph: (770) 832-9140 |
Lana Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-853-4102 Fax: 770-832-3046 | |
Kiera Rhodes, Counselor Medicare: Medicare Enrolled Practice Location: 2385 Oak Grove Church Rd, Carrollton, GA 30117 Phone: 404-398-3135 | |
Dr. Hayley Elizabeth Kast, LPC Counselor Medicare: Medicare Enrolled Practice Location: 173 Kilgore Rd Ste 206, Carrollton, GA 30116 Phone: 770-653-5974 | |
Corey Brian Hindman, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Maple St, Carrollton, GA 30118 Phone: 678-839-5338 | |
Carolyn Sue Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 Dixie St, Carrollton, GA 30117 Phone: 678-372-9979 | |
Ms. Tiffani Venigee Fryar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2032 Maple St, Carrollton, GA 30117 Phone: 678-890-6127 |