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TYLER BRICE AKINS CAA
>> Anesthesiologist Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1407494636
Individual Registrant: TYLER BRICE AKINS CAA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
777 HEMLOCK ST MACON, GA 31201-2102 US
Tel: 478-633-1000 Fax: --
Tel: 478-633-1000 Fax: --
Contact information for business:
5235 BOWMAN RD APT 1506 MACON, GA 31210-1280 US
Tel: 863-243-8275 Fax: --
Tel: 863-243-8275 Fax: --
Registration Information:
NPI: 1407494636
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | GA | 9936 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
