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
State
Georgia
ZIP Code
30135-4180
Phone
(404) 660-9273

Specialties & Taxonomy Codes

Specialty
Contractor

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