NPI 1043766348
Traces Trinity, LLC
Practice location
- Address
- 92 Bettys Creek Rd, Dillard, GA 30537-2257
- Phone
- (706) 746-6571
- Fax
- (706) 746-5643
- Mailing address
- 382 Bridge Creek Road, Tiger, GA 30576
Authorised official
- Name
- Carlie Suzanne Pennington
- Title
- Sole Mb
- Phone
- (706) 746-6571
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1043766348
- Entity type
- Organization
- NPI issued
- 28 Aug 2016
- Record last updated
- 28 Aug 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.