TONY WAYNE LYLE

KINGS BAY, GA
NPI1144429507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-07-16
Last Update Date2007-07-16
Business Address
Mr. TONY WAYNE LYLE NAVY IDC
1061 USS TENNESSEE AVE
KINGS BAY, GA 31547
Phone number: 912-573-4540
Mailing Address
Mr. TONY WAYNE LYLE NAVY IDC
136 LAKE VICTORIA DR.
KINGSLAND, GA 31548
Phone number: 912-322-8352