Individual
MRS. CHERYL LYNN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
122 NORTH MAIN ST, NAHUNTA, GA 31553-9806
(912) 462-6222
(912) 287-1568
Mailing address
218 QUARTERMAN ST, WAYCROSS, GA 31501-3547
(912) 287-0301
(912) 287-1568
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN163442
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349841266A
—
GA
Enumeration date
08/12/2006
Last updated
02/24/2014
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