Individual
ALEXIS TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 GWINNETT DR STE 250, LAWRENCEVILLE, GA 30046-5671
(770) 910-9196
Mailing address
232 SIDNEY LANIER AVE, ATHENS, GA 30607-6550
(410) 259-8599
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN286244
GA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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