Tyson, Stephen Charles

Tyson, Stephen Charles is an individual health care provider with primary practice located at 1612 Milstead Rd Ne Ste B , Conyers GA 30012-3738. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Tyson, Stephen Charles can be contacted via phone (770) 388-7745.

Contact Information

Primary practice address
1612 Milstead Rd Ne Ste B Conyers GA 30012-3738
Fax: (770) 922-0526
Website:

Profile Details

NPI number 1811568140
LBN Legal business name Tyson, Stephen Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2021
Last updated Apr 20th, 2023 - about 3 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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