Individual
TYLER RASHAD THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 AMANDA DR, MACON, GA 31216-6387
(478) 456-0000
Mailing address
351 AMANDA DR, MACON, GA 31216-6387
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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