N. Tyrus Ivey, Dds, Pc

NPI 1467571125 - Clinic/Center - 261QD0000X

NPI Details
NPI 1467571125
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NORMAN TYRUS NORMAN
Position PRESIDENT
Phone (478) 741-0044
Fax (478) 745-5061
Practice Location
1902 FORSYTH ST
SUITE C
MACON GA, 31201-8132, US
Phone (478) 741-0044
Fax (478) 745-5061
Business Location
1902 FORSYTH ST
SUITE C
MACON GA, 31201-8132, US
Phone (478) 741-0044
Fax (478) 745-5061
Toxanomy
Taxonomy Code 261QD0000X
License State Georgia
License Number 7326
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According to our database, N. Tyrus Ivey, Dds, Pc NPI is 1467571125, taxonomy code is 261QD0000X and license number is 7326, license state is located at Georgia. N. Tyrus Ivey, Dds, Pc physically located at 1902 Forsyth St, Macon GA, 31201-8132. NPI Number 1033115704 has the healthcare provider type.

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1467571125 NPI number is provided on an as is basis without warranty of any kind. 1467571125 is maintained by the National Plan & Provider Enumeration System. The contents of N. Tyrus Ivey, Dds, Pc are for informational purposes only.