| Doctor Name: | TYAH J HARO |
| NPI Number: | 1245610526 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 19348 |
| Business Practice Address: | 25 Hospital Center Blvd Hilton Head, SC - 299262738 |
| Business Phone Number: | 8436816122 |
| Business Fax Number: | |
| Mailing Address: | 5665 New Northside Dr Ste 320, ATLANTA |
| State: | GA |
| Postal Code: | 303285834 |
| Phone Number: | 7708746854 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2015 |
| NPI Last Update Date: | 06/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 19348 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |