Individual
TYLER PERRY POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
7700 HIGHWAY 69 S STE C, TUSCALOOSA, AL 35405-8784
(205) 349-1040
Mailing address
7700 HIGHWAY 69 S STE C, TUSCALOOSA, AL 35405-8784
(205) 349-1040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-184764
AL
Other
Enumeration date
10/16/2024
Last updated
10/17/2024
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