Individual
DR. BRADLEY CLEVELAND TYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
2927 DEMERE RD, ST SIMONS ISLAND, GA 31522-1620
(912) 638-1999
(912) 638-2112
Mailing address
529 CLEMENT CIR, ST SIMONS ISLAND, GA 31522-5805
(912) 634-7309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018632
GA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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