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NPI Code Detail

MEDICARE: DR. TWYLA TWILLIE MD

MEDICARE:  DR. TWYLA  TWILLIE  MD
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
1207Q00000XFamily Medicine Physician021752TN

Other Identifiers

General Provider Information

NPI Number : 1730144460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TWYLA TWILLIE MD
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 901-300-5777
Fax Number :
Provider Business Practice Location Address
First Line : 1056 E RAINES RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38116-6337
Country : US
Telephone Number : 901-300-5777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 07/07/2021

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Directions to “ DR. TWYLA TWILLIE MD” Practice Location

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