Dr. Tyler J Provost, DO
Dr. Tyler J Provost, DO is a Family Practice in Thomson, Georgia. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2015, 11 years ago. Practices with Georgialina Physical Therapy Associates LLC, a 429-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 11
- Trained at
- Lake Erie College of Osteopathic Medicine, Bradenton
- Licensed in
- GA
- In the registry since
- 2017
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
2508 University DrThomson, GA 30824-0040
Phone: (706) 595-1090
Fax: (706) 595-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 89610 (GA) |
|---|
Record details
| NPI number | 1588186191 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | July 14, 2017 |
| Last updated in NPPES | November 24, 2021 |
| Certification date | November 24, 2021 |
| Mailing address | 2508 University Dr, Thomson, GA 30824-0040 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON |
| Graduated | 2015 (11 years in practice) |
| Group practice | Georgialina Physical Therapy Associates Llc — 429 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Thomson
-
Dr. Amy Leurinda, MD
1043 Washington Rd, Thomson, GA 30824-7318 · (706) 595-1461
-
Dr. Holly Barmore Mahoney, MD
505 Mount Pleasant Rd, Thomson, GA 30824-8140 · (706) 595-1461
-
Merritt Echols McLaughlin, MD
315 Fluker Street Family Medicine, Thomson, GA 30824-7024 · (706) 595-1090
-
Roger F. Nelson, MD
315 Fluker St, Thomson, GA 30824-2108 · (706) 595-1090
-
Dr. Daryl Carson Wiley, MD
315 Fluker St, Thomson, GA 30824-2108 · (706) 595-1090