Individual
YVETTE TISDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 MAYS HL SW, ATLANTA, GA 30336-4406
(678) 362-5355
Mailing address
1058 MAYS HL SW, ATLANTA, GA 30336-4406
(678) 362-5355
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
GA
Other
Enumeration date
01/16/2024
Last updated
01/29/2024
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