Individual
MICHAEL TYLER LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000 JOE FRANK HARRIS PKWY NW, ADAIRSVILLE, GA 30103-2443
(770) 773-1534
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92380
GA
Other
Enumeration date
04/01/2019
Last updated
03/10/2023
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