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

MRS. TYRIVIA THREAT

Active Sole Proprietor

MRS. TYRIVIA THREAT is a Contractor healthcare provider located in ACWORTH, Georgia. NPI 1689474892 is currently active in the NPPES registry. Verify at CMS.

Contractor · ACWORTH, GA

Registration Details

NPI Number
1689474892
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2025 (1.4280561191942 yrs)
Last Updated
Mar 17, 2025
Sole Proprietor
Yes

Practice Information

Address
4437 GROVE DR NW
ACWORTH, GA, 301016619
Browse GA providers · Browse ZIP 30101
Phone
4043167083
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in ACWORTH, GA

Name Credential NPI
SEAN MCGEEHAN 1487048575
MS. MARY SONYA JACKSON 1922605690
MELISSA HERGERT 1942166137
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.