Wmc Tyrone LLC

NPI #1033132998 in Tyrone, Georgia

Provider Information

NPI Number: 1033132998
Entity Type: Organization
Organization Name: Wmc Tyrone LLC
Primary Specialty: Specialist
Enumeration Date: Jul 25, 2006
Last Updated: Jun 27, 2011

Practice Location

Address: 190 HANDLEY RD
City: Tyrone
State: Georgia
ZIP Code: 30290-2178
Phone: (770) 997-5714

Authorized Official

Name: ELIZABETH MOORE, M.D.
Title: PRESIDENT
Phone: (770) 997-5714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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