Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fayetta Tyra-Brooks

Individual provider Contractor · NPI 1710621438

Fayetta Tyra-Brooks is a Contractor in Douglasville, Georgia. Works from 3 locations. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

4351 Hampton Mill Pkwy
Douglasville, GA 30135-4180
Phone: (404) 660-9273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4351 Hampton Mill Parkway, Douglasville, GA 30135
  • 4351 Hampton Mill Pkwy, Douglasville, GA 30135-4180 — (404) 660-9273

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1710621438
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 13, 2022
Mailing address4351 Hampton Mill Pkwy, Douglasville, GA 30135-4180

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