MRS. TYRIVIA THREAT

Contractor

Active Individual
NPI: 1689474892

Practice Address

4437 GROVE DR NW
Acworth, GA 30101

Phone: (404) 316-7083

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1689474892 is the National Provider Identifier for MRS. TYRIVIA THREAT, a Contractor provider located in Acworth, GA. This NPI was enumerated on March 17, 2025.
MRS. TYRIVIA THREAT practices at 4437 GROVE DR NW, Acworth, GA 30101.

Quick Facts

NPI
1689474892
Type
Individual
Enumerated
Mar 17, 2025
Last Updated
Mar 17, 2025

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