Healthcare Provider Details

I. General information

NPI: 1255332235
Provider Name (Legal Business Name): YASMIN C TYLER-HILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 08/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 JESSE HILL JR DRIVE
ATLANTA GA
30335
US

IV. Provider business mailing address

720 WESTVIEW DR SW STE 100-A
ATLANTA GA
30310-1458
US

V. Phone/Fax

Practice location:
  • Phone: 404-616-7573
  • Fax: 404-616-5933
Mailing address:
  • Phone: 404-756-1400
  • Fax: 404-756-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number049115
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: