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Tyknetra Gunnison
NPI 1699510347 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1906 Heritage Dr Sw
Conyers, GA 30094 - Phone
- (678) 532-9896
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-26
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