Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER JAY DENMEADE, PA-C
Active Sole ProprietorTYLER JAY DENMEADE, PA-C is a Physician Assistant healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1669956249 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1669956249
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2018 (7.8931825594307 yrs)
- Last Updated
- Sep 20, 2018
- License
-
008969 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 PROFESSIONAL DR STE 120LAWRENCEVILLE, GA, 300467638Browse GA providers · Browse ZIP 30046
- Phone
- 7707401860
- Fax
- 6783472104
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| RUTHANN PHILLIPS | PA-C | 1649277591 |
| DIANA K DEAN | P.A. | 1598765950 |
| MR. BOBBY GENE STOUT JR. | PA-C | 1235128612 |
| JOSEPH P LIEBSACK | P.A.-C | 1528048196 |
| PATRICIA A HAGERMAN | PA | 1346216249 |
| ALLISON NICOLE ANDERSON | P.A-C | 1639124233 |
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.