Individual
MRS. JOYCE LANELLE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
223 NORTH CENTRAL AVENUE, TIFTON, GA 31794
(229) 387-7111
(229) 387-7111
Mailing address
2111 FERRY LAKE RD, TIFTON, GA 31794
(229) 386-2534
(229) 386-2534
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001391
GA
Other
Enumeration date
12/03/2010
Last updated
12/09/2010
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