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1750951323
ELIZABETH TYSON
AUGUSTA, GA
NPI
1750951323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN235927)
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
ELIZABETH TYSON
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-0211
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Mailing Address
ELIZABETH TYSON
2615 YORK DR
AUGUSTA, GA 30909-2003
Phone number: 706-627-0602
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