NICOLE ALICIA LYTLE

ATHENS, GA
NPI1174654651
Other NameNICOLE ALICIA TORAYA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  3771)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA  3771)
Enumeration Date2007-03-08
Last Update Date2024-05-07
Business Address
NICOLE ALICIA LYTLE PA
1199 PRINCE AVE
ATHENS, GA 30606-2797
Phone number: 478-464-8134
Mailing Address
NICOLE ALICIA LYTLE PA
503 SAINT MARLO DR
CENTERVILLE, GA 31028-8005
Phone number: 478-953-1345