Lychannel Ticole Head
NPI #1871163097 in Mcdonough, Georgia
Provider Information
- NPI Number
- 1871163097
- Entity Type
- Individual
- Name
- Lychannel Ticole Head
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 29, 2021
- Last Updated
- Jan 12, 2026
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Nurse Practitioner - Family — Family |
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