Individual
TYLER EVAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN253415
GA
363L00000X
Nurse Practitioner
Primary
RN253415
GA
Other
Enumeration date
04/14/2022
Last updated
08/09/2022
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