NPI 1316298144

Sandra Diane Tyree, IDC

Practitioner Military Health Care Provider Hahira, GA

Practice location

Address: 6490 Clyattstone Rd, Hahira, GA 31632-3112
Phone: (229) 300-1226

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1316298144
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2012
Record last updated: 19 Sep 2012

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.