Individual
TANYA TIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E 4TH ST, ADEL, GA 31620-2730
(229) 507-2521
(229) 507-2425
Mailing address
110 E 4TH ST, ADEL, GA 31620-2730
(229) 507-2521
(229) 507-2521
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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