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Stephen Tyson

NPI 1811568140 · on the registry since 2021

Practice

Address
1612 Milstead Rd Ne Ste B
Conyers, GA 30012
Phone
(770) 388-7745
Fax
(770) 922-0526
Organisation at this address
Surgical Assoicates Of Metro Atlanta, Llc
Eastside Premier Nephrology & Hypertension Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
367H00000X
367H00000X
Also registered as
367H00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia