Individual
MR. TYREK S SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
212 GREEN MEADOWS CT, LOUISVILLE, GA 30434
(478) 206-5172
Mailing address
212 GREEN MEADOWS CT, LOUISVILLE, GA 30434
(478) 206-5172
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
GA
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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