Tyra-Brooks, Fayetta
Tyra-Brooks, Fayetta is an individual health care provider with primary practice located at 4351 Hampton Mill Pkwy , Douglasville GA 30135-4180. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Tyra-Brooks, Fayetta can be contacted via phone (404) 660-9273.Contact Information
Primary practice address
4351 Hampton Mill Pkwy
Douglasville GA 30135-4180
Phone: (404) 660-9273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1710621438 |
|---|---|
| LBN Legal business name | Tyra-Brooks, Fayetta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2022 |
| Last updated | Apr 27th, 2022 - about 4 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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