Stephen Charles Tyson

Anesthesiologist Assistant · Conyers, GA

Individual Active NPI

NPI number 1811568140

Practice location

1612 Milstead Rd NE Ste B
Conyers, GA 30012-3738
Phone
(770) 388-7745
Fax
(770) 922-0526

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NPI record

NPI
1811568140
Entity type
Individual (Type 1)
Enumeration date
July 7, 2021
Last updated
April 20, 2023
Certified
April 20, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X 10610 GA
Anesthesiologist Assistant 367H00000X — —

Mailing address

4140 Alexis Ct
Loganville, GA 30052-9070

About Stephen Tyson

Stephen Charles Tyson is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 1612 Milstead Rd NE Ste B, Conyers, GA 30012-3738. The NPI number 1811568140 was assigned on July 7, 2021 and the record was last updated on April 20, 2023.

Stephen Tyson lists a license in the registry: #10610 (GA) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Charles Tyson?

The NPI number is 1811568140.

What is the phone number of Stephen Tyson?

The phone number listed for the practice location is (770) 388-7745.

Where is Stephen Tyson located?

1612 Milstead Rd NE Ste B, Conyers, GA 30012-3738.

What is the taxonomy code for Stephen Tyson?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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