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Mr. William Todd Tyler
Home Health Agency in Canton, Georgia
NPI 1245856608

William Todd Tyler is a Home Health Agency based in Canton, GA. William Todd Tyler practices in Canton, GA. The NPI Number for William Todd Tyler is 1245856608 and holds a License No. PHCP010396 (Georgia).

The current practice location address for William Todd Tyler is 250 E Main St Ste 202A, Canton, GA and can be reached out via phone at 678-880-9128 and via fax at 770-213-3472.

Location: 250 E Main St Ste 202A, Canton, GA, 30114-2781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245856608
Provider Name
William Todd Tyler
Credential
Provider Entity Type
Individual
Gender
Male
Address
250 E Main St Ste 202A, Canton, GA, 30114-2781
Phone Number
678-880-9128
Fax Number
770-213-3472
Provider Enumeration Date
06/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHCP010396 01 GA GEORGIA DEPARTMENT OF COMMUNITY HEALTH
institution
Provider Business Practice Location Address Details
Address
250 E Main St Ste 202A
City
Canton
State
Georgia
Zip
30114-2781
Phone Number
678-880-9128
Fax Number
770-213-3472
person
Provider Business Mailing Address Details
Address
250 E Main St Ste 202A
City
Canton
State
Georgia
Zip
30114-2781
Phone Number
678-880-9128
Fax Number
770-213-3472
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
PHCP010396 (Georgia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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