Bennett, Tyra Lashay
Bennett, Tyra Lashay is an individual health care provider with primary practice located at 4191 Old Ga Highway 3 , Camilla GA 31730-6338. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bennett, Tyra Lashay can be contacted via phone (229) 328-4181.Contact Information
Primary practice address
4191 Old Ga Highway 3
Camilla GA 31730-6338
Phone: (229) 328-4181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN234059 | Georgia |
Profile Details
| NPI number | 1144081571 |
|---|---|
| LBN Legal business name | Bennett, Tyra Lashay |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2024 |
| Last updated | Jan 22nd, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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