Individual
ALEXANDER TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2380 MEADOWLARK COMMONS CT APT 202, ALBANY, GA 31707-5872
(229) 291-5225
Mailing address
2380 MEADOWLARK COMMONS CT APT 202, ALBANY, GA 31707-5872
(229) 291-5225
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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