Fayetta Tyra-Brooks
NPI #1710621438 in Douglasville, Georgia
Provider Information
- NPI Number
- 1710621438
- Entity Type
- Individual
- Name
- Fayetta Tyra-Brooks
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Contractor
- Enumeration Date
- Apr 27, 2022
- Last Updated
- Apr 27, 2022
Practice Location
- Address
- 4351 HAMPTON MILL PKWY
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-4180
- Phone
- (404) 660-9273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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