TRACIA A WALTERS

Custodial Care Facility - Adult Care Home

Active Individual
NPI: 1275414823

Practice Address

3327 WAGGONER LN
Rex, GA 30273

Phone: (678) 353-7916

Specialties

Specialty Code Primary License
Custodial Care Facility - Adult Care Home 311ZA0620X Yes 25064627 (GA)

Frequently Asked Questions

NPI 1275414823 is the National Provider Identifier for TRACIA A WALTERS, a Custodial Care Facility - Adult Care Home provider located in Rex, GA. This NPI was enumerated on September 10, 2025.
TRACIA A WALTERS practices at 3327 WAGGONER LN, Rex, GA 30273.

Quick Facts

NPI
1275414823
Type
Individual
Enumerated
Sep 10, 2025
Last Updated
Sep 10, 2025

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