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1598247033
JENNIFER L TYSON
DECATUR, GA
NPI
1598247033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 009029)
Enumeration Date
2018-08-31
Last Update Date
2018-10-08
Business Address
JENNIFER L TYSON PA-C
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number: 404-501-1000
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Mailing Address
JENNIFER L TYSON PA-C
190 GRINDLE BRIDGE RD
DAHLONEGA, GA 30533-3552
Phone number: 706-974-3459
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