Individual
NATASHA TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3745
Mailing address
455 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN204313
GA
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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