Individual
SABRINA TYER-MBAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3909 CAMPBELLTON RD SW APT G4, ATLANTA, GA 30331-5021
(470) 430-0076
Mailing address
1821 ANDERSON AVE NW, ATLANTA, GA 30314-1835
(470) 794-2477
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN241800
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NON MEDICAID
GA
05
—
0000000000
—
GA
05
—
0000000000
—
NY
01
—
049233169
DEPT OF DRIVER SERVICES
GA
Enumeration date
09/15/2021
Last updated
09/15/2021
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