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

Tyra Louise Anderson

Individual provider Specialist · NPI 1417448432

Tyra Louise Anderson is a Specialist in East Point, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2018

Practice location Address checks out

1514 Cleveland Ave Ste 103-5
East Point, GA 30344-6965
Phone: (770) 256-7221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1744P3200X (GA)

Record details

NPI number1417448432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 24, 2018
Last updated in NPPESJune 16, 2018

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