TYRA ANDERSON

Specialist

Active Individual
NPI: 1417448432

Practice Address

1514 CLEVELAND AVE STE 103-5
East Point, GA 30344

Phone: (770) 256-7221

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 1744P3200X (GA)

Frequently Asked Questions

NPI 1417448432 is the National Provider Identifier for TYRA ANDERSON, a Specialist provider located in East Point, GA. This NPI was enumerated on May 24, 2018.
TYRA ANDERSON practices at 1514 CLEVELAND AVE STE 103-5, East Point, GA 30344.

Quick Facts

NPI
1417448432
Type
Individual
Enumerated
May 24, 2018
Last Updated
Jun 16, 2018

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