Individual
TEILA TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
2274 SALEM RD SE STE 106-1336, CONYERS, GA 30013-2097
(770) 407-9923
Mailing address
2038 FONTAINBLEAU DR, CONYERS, GA 30094-4842
(770) 407-9923
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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