Individual
TYNESHIA MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 CHATHAM ST, OGLETHOPE, GA 31068-3106
(478) 223-3443
Mailing address
509 CHATHAM ST, OGLETHOPE, GA 31068
(678) 769-0543
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
S5K5Q8T3
GA
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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