| Tyler Cole, DNP | |
|
3441 Cypress Mill Rd Ste 101, Brunswick, GA 31520-2879 | |
| (912) 419-5148 | |
| Not Available |
| Full Name | Tyler Cole |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 3441 Cypress Mill Rd Ste 101, Brunswick, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982086369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 19514 (South Carolina) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | RN261508 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Expand Health, Llc | 7012393531 | 3 |
| Entity Name | Expand Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205556594 PECOS PAC ID: 7012393531 Enrollment ID: O20221005003740 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Cole, DNP 3441 Cypress Mill Rd Ste 101, Brunswick, GA 31520-2879 Ph: (912) 419-5148 | Tyler Cole, DNP 3441 Cypress Mill Rd Ste 101, Brunswick, GA 31520-2879 Ph: (912) 419-5148 |
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