Provider Demographics
NPI:1154889897
Name:HOOKS, TRACIE MICHELLE
Entity type:Individual
Prefix:
First Name:TRACIE
Middle Name:MICHELLE
Last Name:HOOKS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4465 PINEDALE DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31206-4529
Mailing Address - Country:US
Mailing Address - Phone:478-390-1264
Mailing Address - Fax:
Practice Address - Street 1:4465 PINEDALE DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-4529
Practice Address - Country:US
Practice Address - Phone:478-390-1264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management