FAYETTA TYRA-BROOKS

Contractor

Active Individual
NPI: 1710621438

Practice Address

4351 HAMPTON MILL PKWY
Douglasville, GA 30135

Phone: (404) 660-9273

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1710621438 is the National Provider Identifier for FAYETTA TYRA-BROOKS, a Contractor provider located in Douglasville, GA. This NPI was enumerated on April 27, 2022.
FAYETTA TYRA-BROOKS practices at 4351 HAMPTON MILL PKWY, Douglasville, GA 30135.

Quick Facts

NPI
1710621438
Type
Individual
Enumerated
Apr 27, 2022
Last Updated
Apr 27, 2022

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