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1851875991
TYLER HENRY WOOTEN
MARIETTA, GA
NPI
1851875991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-09-24
Last Update Date
2019-11-05
Business Address
Mr. TYLER HENRY WOOTEN PA-C
590 NANCY ST NW
MARIETTA, GA 30060-1334
Phone number: 770-423-0395
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Mailing Address
Mr. TYLER HENRY WOOTEN PA-C
805 SANDY PLAINS ROAD MEDICAL STAFF SERVICES
MARIETTA, GA 30066-6340
Phone number:
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