NPI 1003687153
Madison G Tyrus
Practice location
- Address
- 3051 Lumby Dr APT 411, Decatur, GA 30034-1894
- Phone
- (943) 206-5229
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003687153
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jan 2024
- Record last updated
- 9 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.