Individual
TIA ALYNN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 ALICE ST, WAYCROSS, GA 31501-4525
(912) 284-9800
Mailing address
PO BOX 294, 501 OLD PEARSON RD, HOMERVILLE, GA 31634-0294
(229) 630-4073
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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