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Contact Information

TYLER I AN, DO
4150 DEPUTY BILL CANTRELL MEMORIAL RD
SUITE 290
CUMMING, GA30040-3005
 Phone: 404-446-0600
 Fax: 404-446-0601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TYLER I AN · (Male)

NPI Number 1063705135
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/24/2011
Last updated 01/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 79573
  • MI License # 5101019313
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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