Healthcare Provider Details

I. General information

NPI: 1134943897
Provider Name (Legal Business Name): AURORA MEDICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 E SHOTWELL ST
BAINBRIDGE GA
39819-4146
US

IV. Provider business mailing address

832 E SHOTWELL ST
BAINBRIDGE GA
39819-4146
US

V. Phone/Fax

Practice location:
  • Phone: 229-234-6146
  • Fax: 229-207-4127
Mailing address:
  • Phone: 229-231-6146
  • Fax: 229-207-4127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELA FRANCES TYUS
Title or Position: OWNER
Credential: FNP-C
Phone: 229-234-6146