Individual
TYLER JOHN MCKINNON
Active
Individual
TYLER JOHN MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
191928
NC
2085R0202X
Diagnostic Radiology Physician
56340
TN
2085R0202X
Diagnostic Radiology Physician
Primary
90901
GA
Other
Enumeration date
05/14/2013
Last updated
06/09/2022
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