Nicova P Tyus

NPI 1386853638 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1386853638
Gender Male
Enumeration Date 05/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1997 HIGHWAY 51 S
COVINGTON TN, 38019-3630, US
Phone (901) 476-8967
Fax
Business Location
1997 HIGHWAY 51 S
COVINGTON TN, 38019-3630, US
Phone (901) 476-8967
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Nicova P Tyus NPI is 1386853638, taxonomy code is 171M00000X Nicova P Tyus physically located at 1997 Highway 51 S, Covington TN, 38019-3630. NPI Number Nicova P Tyus has the Individual type.

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1386853638 NPI number is provided on an as is basis without warranty of any kind. 1386853638 is maintained by the National Plan & Provider Enumeration System. The contents of Nicova P Tyus are for informational purposes only.