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NPI Code Detail

MEDICARE: TYANNA STITTS

MEDICARE: TYANNA STITTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TH0100XHealth Service PsychologistPHCP013447GA

General Provider Information

NPI Number : 1669289179
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYANNA STITTS
Provider Business Mailing Address
First Line : 3379 PEACHTREE RD NE STE 700
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1419
Country : US
Telephone Number : 855-701-7599
Fax Number :
Provider Business Practice Location Address
First Line : 3379 PEACHTREE RD NE STE 700
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1419
Country : US
Telephone Number : 855-701-7599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2024
Last Update Date : 12/17/2024

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Directions to “ TYANNA STITTS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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