Individual
NGUYET TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1558 RIVERSTONE PKWY STE 100, CANTON, GA 30114-2888
(404) 785-5437
(404) 785-4683
Mailing address
1558 RIVERSTONE PKWY STE 100, CANTON, GA 30114-2888
(404) 785-5437
(404) 785-4683
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN224199
GA
Other
Enumeration date
07/15/2017
Last updated
06/06/2022
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