Individual
TONYA A LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900 20TH AVE, VALLEY, AL 36854-3549
(334) 756-5137
(334) 756-6523
Mailing address
4900 20TH AVE, VALLEY, AL 36854-3549
(334) 756-5137
(334) 756-6523
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
049732
GA
208000000X
Pediatrics Physician
Primary
23074
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009922370
—
AL
Enumeration date
11/06/2006
Last updated
12/21/2011
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