Tyra Louise Anderson
NPI #1417448432 in East Point, Georgia
Provider Information
- NPI Number
- 1417448432
- Entity Type
- Individual
- Name
- Tyra Louise Anderson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- May 24, 2018
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 1514 CLEVELAND AVE STE 103-5
- City
- East Point
- State
- Georgia
- ZIP Code
- 30344-6965
- Phone
- (770) 256-7221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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