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Rodney D. Tyson Md,pc
Primary Care Clinic/Center in Adel, Georgia
NPI 1245419183

Rodney D. Tyson Md,pc is a Primary Care Clinic/Center based in Adel, GA and is specialized in Primary Care. Rodney D. Tyson Md,pc practices in Adel, GA. The NPI Number for Rodney D. Tyson Md,pc is 1245419183 and holds a License No. 038994 (Georgia).

The current practice location address for Rodney D. Tyson Md,pc is 103 James St, Adel, GA and can be reached out via phone at 229-896-3424 and via fax at 229-896-3838.

Location: 103 James St, Adel, GA, 31620-1504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245419183
Provider Name
Rodney D. Tyson Md,pc
Credential
Provider Entity Type
Organization
Address
103 James St, Adel, GA, 31620-1504
Phone Number
229-896-3424
Fax Number
229-896-3838
Provider Enumeration Date
10/28/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00703425A 05 GA
507222 01 GA BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
103 James St
City
Adel
State
Georgia
Zip
31620-1504
Phone Number
229-896-3424
Fax Number
229-896-3838
person
Provider Business Mailing Address Details
Address
103 James St
City
Adel
State
Georgia
Zip
31620-1504
Phone Number
229-896-3424
Fax Number
229-896-3838
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
038994 (Georgia)
Definition
Definition to come...
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