Individual
DR. TYLER INCHUL AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290, CUMMING, GA 30040-3005
(404) 446-0600
(404) 446-0601
Mailing address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290, CUMMING, GA 30040-3005
(404) 446-0600
(404) 446-0601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019313
MI
207RG0100X
Gastroenterology Physician
Primary
79573
GA
Other
Enumeration date
05/24/2011
Last updated
01/21/2021
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