Individual
MR. LARRY EARL TYRER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Mailing address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN238935
GA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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