SearchGeorgia225X00000X

Tina Lyttle

NPI 1710380464 · on the registry since 2014 · sole proprietor

Practice

Address
1151 Gulfport Run
Grayson, GA 30017
Phone
(770) 296-5177

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-14

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