SANDRA DIANE TYREE (NPI# 1316298144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316298144 |
| Entity Type | Individual |
| Full Name | SANDRA DIANE TYREE |
| Credential | IDC |
| Practice Address |
6490 Clyattstone Rd Hahira GA 31632-3112 |
| Practice Telephone | 2293001226 |
| Mailing Telephone | 2293001226 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
6490 CLYATTSTONE RD |
| City | HAHIRA |
| State | GA |
| Zip Code | 31632-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568912194 | Jennifer Washington | Counselor | 6675 Brookridge Drive, Hahira, GA 31632 | 2016-10-06 |
| 1730537044 | Kimberly Graham | Speech-Language Pathologist | 815 Kristen Lane, Hahira, GA 31632 | 2016-05-26 |
| 1740585934 | J.h. Harvey Co., LLC | Durable Medical Equipment & Medical Supplies | 775 Ga Hwy 122 W, Hahira, GA 31632 | 2011-01-19 |
| 1205990546 | South Health District | Public Health or Welfare | 503 W Main St, Hahira, GA 31632-1028 | 2006-12-21 |
| 1114420387 | Lindsey Baker Childress | Registered Nurse | 815 E Main St, Hahira, GA 31632-1058 | 2018-03-14 |
| 1154690337 | Henry Young Tillman IIi | Dentist | 950 Hwy 122 W, Hahira, GA 31632-1061 | 2011-12-18 |
| 1821007642 | Kit Harold Robinson | Dentist | 950 Ga Highway 122 W, Hahira, GA 31632-1061 | 2006-08-08 |
| 1972076396 | John Thomas Rust | Pharmacist | 775 Ga Highway 122 W, Hahira, GA 31632-1066 | 2019-01-08 |
| 1861039703 | Amanda Stankiewicz | Pharmacist | 775 Ga Highway 122 W, Hahira, GA 31632-1066 | 2019-12-10 |
| 1831513910 | Samson Merger Sub LLC | Durable Medical Equipment & Medical Supplies | 775 Ga Highway 122 W, Hahira, GA 31632-1066 | 2014-02-10 |
| Find all providers in zip 31632 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700425568 | Greggory Theotis Kent | Military Health Care Provider | 223 E Grady Ave, Lyons, GA 30436-1509 | 2019-12-26 |
| 1083142947 | Integrative Cap Health Practices | Military Health Care Provider | 770 Old Roswell Pl Ste G400, Roswell, GA 30076-8635 | 2017-05-23 |
| 1972037323 | Alicia Anderson | Military Health Care Provider | 621 Mcgruder St. Ne, Atlanta, GA 30312 | 2017-04-12 |
| 1508227141 | Compassion Community PCh LLC | Military Health Care Provider | 1942 Appling Harlem Rd, Appling, GA 30802-3723 | 2016-03-09 |
| 1982063749 | Mallori Tittle | Military Health Care Provider | 6254 Warm Springs Rd Apt G6, Columbus, GA 31909-9152 | 2016-02-22 |
| 1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
| 1235575325 | Gerardo Julian Soracco | Military Health Care Provider | 4415 Northside Chase Nw, Atlanta, GA 30327-3567 | 2013-05-15 |
| 1790023406 | Donna Sue Muller | Military Health Care Provider | 2715 Cosmos Dr Ne, Atlanta, GA 30345-1307 | 2013-01-30 |
| 1558643536 | Eleanor S. Lee | Military Health Care Provider | 4211 Misty Morning Way, #2319, Gainesville, GA 30506-4347 | 2011-09-15 |
| 1073754891 | James Mercer Archer | Military Health Care Provider | 2450 Ruger Dr Ne, Marietta, GA 30066-1422 | 2009-03-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.