Keontra Tyes

NPI #1134802630 in Decatur, Georgia

Provider Information

NPI Number
1134802630
Entity Type
Individual
Name
Keontra Tyes
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Audiologist
Enumeration Date
Aug 10, 2023
Last Updated
Aug 10, 2023

Practice Location

Address
484 IRVIN CT
State
Georgia
ZIP Code
30030-5406
Phone
(404) 297-4248

Specialties & Taxonomy Codes

Specialty
Audiologist

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