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Search › Georgia › 231H00000X

Keontra Tyes

NPI 1134802630 · on the registry since 2023

Practice

Address
484 Irvin Ct
Decatur, GA 30030
Phone
(404) 297-4248
Organisation at this address
Georgia Interventional Pain - D Llc
Premier Family Medicine Center, Llc
Georgia Pain And Wellness Center, Llc
The South Atlanta Center For Endocrinology. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
231H00000X
231H00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia