Sandra Diane Tyree, IDC

NPI #1316298144 in Hahira, Georgia

Provider Information

NPI Number
1316298144
Entity Type
Individual
Name
Sandra Diane Tyree, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider
Credential
IDC
Enumeration Date
Sep 19, 2012
Last Updated
Sep 19, 2012

Practice Location

Address
6490 CLYATTSTONE RD
City
Hahira
State
Georgia
ZIP Code
31632-3112
Phone
(229) 300-1226

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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