Search › Georgia › 2255A2300X
Tyler Corcoran, MS, LAT, ATC, ITAT
NPI 1467822833 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3737 Brock Rd
Duluth, GA 30096 - Phone
- (706) 910-9834
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-23
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