Individual
MS. TIFFANY DENISE TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 GARLINGTON AVE APT 97, WAYCROSS, GA 31503-2715
(912) 282-2940
Mailing address
301 GARLINGTON AVE APT 97, WAYCROSS, GA 31503-2715
(912) 282-2940
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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