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Individual
WILLIE TYLER
Active
Individual
WILLIE TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
172A00000X
Driver
Primary
—
GA
175T00000X
Peer Specialist
—
GA
225800000X
Recreation Therapist
—
GA
253Z00000X
In Home Supportive Care Agency
—
GA
311ZA0620X
Adult Care Home Facility
—
—
347C00000X
Private Vehicle
—
GA
347E00000X
Transportation Broker
—
GA
372600000X
Adult Companion
—
GA
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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