Individual
MS. CORNELIUS REGINA TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-5811
Mailing address
3507 MONROE CT, AUGUSTA, GA 30909-9243
(270) 339-1183
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4304P
KY
363LF0000X
Family Nurse Practitioner
Primary
RN320315
GA
Other
Enumeration date
02/27/2006
Last updated
01/25/2025
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