Individual
ANGELA FRANCES TYUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
832 E SHOTWELL ST, BAINBRIDGE, GA 39819-4146
(229) 231-6146
(229) 207-4127
Mailing address
832 E SHOTWELL ST, BAINBRIDGE, GA 39819-4146
(229) 231-6146
(229) 207-4127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN143534
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100084A
—
GA
Enumeration date
11/19/2009
Last updated
09/19/2025
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