Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYCHANNEL TICOLE HEAD
ActiveLYCHANNEL TICOLE HEAD is a Specialist healthcare provider located in MCDONOUGH, Georgia. NPI 1871163097 is currently active in the NPPES registry. Verify at CMS.
Specialist · MCDONOUGH, GA
Registration Details
- NPI Number
- 1871163097
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2021 (5.0855546426889 yrs)
- Last Updated
- Jan 12, 2026
- Licenses
-
1952405052 (GA)F06211529 (GA)
Practice Information
- Address
-
1631 HIGHWAY 20 WMCDONOUGH, GA, 302537311Browse GA providers · Browse ZIP 30253
- Phone
- 7702882822
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Family Nurse Practitioner
Other Specialist Providers in MCDONOUGH, GA
| Name | Credential | NPI |
|---|---|---|
| JOHN STEPHEN HASAK | ATC, LAT | 1609122563 |
| DR. AIMEE VAUGHN | DVM CVA | 1033562855 |
| WYNONA WIMBISH PRESTON | — | 1972157261 |
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.