Provider Demographics
NPI:1134943897
Name:AURORA MEDICAL CARE
Entity type:Organization
Organization Name:AURORA MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:TYUS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:229-220-2131
Mailing Address - Street 1:524 BARBER RD
Mailing Address - Street 2:
Mailing Address - City:BRINSON
Mailing Address - State:GA
Mailing Address - Zip Code:39825-2058
Mailing Address - Country:US
Mailing Address - Phone:229-220-2132
Mailing Address - Fax:
Practice Address - Street 1:832 E SHOTWELL ST
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:39819-4146
Practice Address - Country:US
Practice Address - Phone:229-234-6146
Practice Address - Fax:229-207-4127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty