Individual
MITZI BRADDOCK TYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 387-7737
(912) 449-7080
Mailing address
2900 MOSSY OAK TRL, WAYCROSS, GA 31503-4621
(912) 387-7737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN170702
GA
363LF0000X
Family Nurse Practitioner
RN170702
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN170702
GA
Other
Enumeration date
01/30/2009
Last updated
08/20/2024
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