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Individual

NATHAN TYSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1012 COGGINS PL NE, MARIETTA, GA 30060-2585
(770) 422-2009
Mailing address
1314 CONCORD RD SE, SMYRNA, GA 30080-4361
(770) 438-1799
(770) 825-9046

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
12486
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN297062
GA

Other

Enumeration date
10/11/2023
Last updated
03/24/2026
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