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NPI Code Detail

MEDICARE: TAMMY ANITA LYLES-ARNOLD M.D.

MEDICARE:   TAMMY ANITA LYLES-ARNOLD  M.D.
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
1208000000XPediatrics Physician49308GA

General Provider Information

NPI Number : 1801861562
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY ANITA LYLES-ARNOLD M.D.
Provider Business Mailing Address
First Line : 420 E 2ND AVE STE 103
Second Line :
City : ROME
State : GA
Zip : 30161-3210
Country : US
Telephone Number : 706-509-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2370 ROCKMART HWY STE 100
Second Line :
City : CEDARTOWN
State : GA
Zip : 30125-6029
Country : US
Telephone Number : 770-748-7818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 08/07/2023

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Directions to “ TAMMY ANITA LYLES-ARNOLD M.D.” Practice Location

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