Individual
TYIESHA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4886 TOWER VIEW DR, SNELLVILLE, GA 30039-6523
(203) 676-7980
Mailing address
4886 TOWER VIEW DR, SNELLVILLE, GA 30039-6523
(203) 676-7980
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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