Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FAYETTA TYRA-BROOKS
ActiveFAYETTA TYRA-BROOKS is a Contractor healthcare provider located in DOUGLASVILLE, Georgia. NPI 1710621438 is currently active in the NPPES registry. Verify at CMS.
Contractor · DOUGLASVILLE, GA
Registration Details
- NPI Number
- 1710621438
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2022 (4.2687312345399 yrs)
- Last Updated
- Apr 27, 2022
Practice Information
- Address
-
4351 HAMPTON MILL PKWYDOUGLASVILLE, GA, 301354180Browse GA providers · Browse ZIP 30135
- Phone
- 4046609273
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in DOUGLASVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MS. TAMI LYNN BACKSTROM | L.M.T | 1902135205 |
| MARTIN ALTMAN | LPC | 1255717021 |
| TINORA COLEY | — | 1437660362 |
| JANINE EASTMAN | PHLEBOTOMIST | 1285292599 |
| JANICE ELAINE ADAMS | ED.D | 1972183697 |
| JADA AMARI MATTHEWS | — | 1871377267 |
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.