Individual
TIMOTHY TYNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1462 CLIFTON RD NE, ATLANTA, GA 30322-1000
(404) 727-2582
Mailing address
609 VIRGINIA AVE NE, ATLANTA, GA 30306-5106
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10854
GA
Other
Enumeration date
08/27/2019
Last updated
06/29/2023
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