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Contact Information

HEATHER F TYRE, PA-C
980 SOUTH 1ST STREET
JESUP, GA31545
 Phone: 912-427-4267
 Fax: 912-559-2638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HEATHER F TYRE · (Female)

NPI # 1255394979
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/11/2006
Last updated 03/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 004357
  • GA Medicaid 541791446
Hospital affiliation(s) Not Available
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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