| Swayamprabha S Tyagi, MD | |
|
414 Lugenia Dr, Vidalia, GA 30474-7210 | |
| (912) 537-9355 | |
| (912) 537-7038 |
| Full Name | Swayamprabha S Tyagi |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 414 Lugenia Dr, Vidalia, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720134166 | NPI | - | NPPES |
| 000517833F | Medicaid | GA | |
| 000517833H | Medicaid | GA | |
| 000517833B | Medicaid | GA | |
| 000517833I | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 32318 (Georgia) | Primary |
| 208000000X | Pediatrics | 47063 (Arizona) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Swayamprabha S Tyagi, MD 414 Lugenia Dr, Vidalia, GA 30474-7210 Ph: (912) 537-9355 | Swayamprabha S Tyagi, MD 414 Lugenia Dr, Vidalia, GA 30474-7210 Ph: (912) 537-9355 |
Dr. Erin Breeann Lindholm, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Etta Wilcia Boss Cole, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 Fax: 123-738-0969 | |
Lauren Courtney Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Dr. Katrina Mcclane Leshanski, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Timothy Caron Horton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1702 Meadows Ln Ste A, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Caryn J. Masterman-smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Callie Wilkes, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 |