Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYRA LOUISE ANDERSON
Active Sole ProprietorTYRA LOUISE ANDERSON is a Specialist healthcare provider located in EAST POINT, Georgia. NPI 1417448432 is currently active in the NPPES registry. Verify at CMS.
Specialist · EAST POINT, GA
Registration Details
- NPI Number
- 1417448432
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2018 (8.2373019069896 yrs)
- Last Updated
- Jun 16, 2018
- License
-
1744P3200X (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1514 CLEVELAND AVE STE 103-5EAST POINT, GA, 303446965Browse GA providers · Browse ZIP 30344
- Phone
- 7702567221
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.