Tynisha Walton, is a
Licensed Practical Nurse based in Tignall, Georgia. Tynisha Walton is licensed to practice in Georgia (license number LPN087389) and her current practice location is
174 Anderson St, Tignall, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 401-5070.
NPI number for Tynisha Walton is 1710439294 and her current mailing address is 174 Anderson St, Tignall, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710439294.
Provider's Profile
| Full Name | Tynisha Walton |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 174 Anderson St, Tignall, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710439294
- Provider Enumeration Date: 10/31/2016
- Last Update Date: 10/31/2016
Medical Identifiers
Medical identifiers for Tynisha Walton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710439294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN087389 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tynisha Walton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tynisha Walton,
174 Anderson St,
Tignall, GA 30668-2739
Ph: () - | Tynisha Walton,
174 Anderson St,
Tignall, GA 30668-2739
Ph: (706) 401-5070 |
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