Tyler, Christina Daniels

Tyler, Christina Daniels is an sole proprietor health care provider with primary practice located at 3755 Sixes Rd Suite 100, Canton GA 30114. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tyler, Christina Daniels can be contacted via phone (770) 704-4580.

Contact Information

Primary practice address
3755 Sixes Rd Suite 100 Canton GA 30114
Phone: (770) 704-4580
Fax: (770) 704-9142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RN153645NP Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN153645NP Georgia

Profile Details

NPI number 1871666404
LBN Legal business name Tyler, Christina Daniels
Credentials NPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 1st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871666404 NPPES
Georgia MEDICAID 212738189A
Georgia Other 153645
Georgia Other 1952395097

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