NPI age
13 years
Enumerated 2012-09-19
● Active
Type 1 · Individual
Sandra Diane Tyree, IDC
Tyree is 1 of 1 military health care provider providers in Hahira and 1 of 40 in Georgia.
Primary specialty
Military Health Care Provider
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2012-09-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 40 active military health care provider providers in Georgia.
NPI age
13 years
↑ 2 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-09Enumerated in NPPES
2012
2026
Where they practice
Practice location
6490 Clyattstone Rd
Hahira, GA 316323112
Mailing address
6490 Clyattstone Rd
Hahira, GA 316323112
Specialties
-
Military Health Care Provider PrimaryActive duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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