DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TYLER J PROVOST, D.O.

Active

DR. TYLER J PROVOST, D.O. is a Family Medicine healthcare provider located in THOMSON, Georgia. NPI 1588186191 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · THOMSON, GA

Registration Details

NPI Number
1588186191
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2017 (8.9411043756988 yrs)
Last Updated
Nov 24, 2021
License
89610 (GA)

Practice Information

Address
2508 UNIVERSITY DR
THOMSON, GA, 308240040
Browse GA providers · Browse ZIP 30824
Phone
7065951090
Fax
7065956010
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in THOMSON, GA

Name Credential NPI
DR. JAMES L LEMLEY M.D. 1952308926
DR. SUSAN H LAND M.D. 1215935903
MS. KELLI M CARTER M.D. 1285634212
DR. DARYL CARSON WILEY M.D. 1508859448
ROGER F. NELSON M.D. 1356315337
MERRITT ECHOLS MCLAUGHLIN MD 1962797712
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.