Tyler, Sandra Sullivan

Tyler, Sandra Sullivan is an individual health care provider with primary practice located at 3350 Paddocks Pkwy , Suwanee GA 30024-9119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tyler, Sandra Sullivan can be contacted via phone (678) 735-5300.

Contact Information

Primary practice address
3350 Paddocks Pkwy Suwanee GA 30024-9119
Fax: (678) 735-5305
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3288 Georgia

Profile Details

NPI number 1588963490
LBN Legal business name Tyler, Sandra Sullivan
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2011
Last updated Oct 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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