Tyneshia Morris
Individual provider Active NPI Phlebotomy Technician · Oglethope, GA
NPI 1043885346 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1043885346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Phlebotomy Technician 246RP1900X
- License
- S5K5Q8T3 (GA)
- Practice address
- 509 Chatham St
Oglethope, GA 31068-3106 - Phone
- (478) 223-3443
- NPI assigned
- May 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S5K5Q8T3 | GA | MD | Phlebotomy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | S5K5Q8T3 | GA | Yes |
Addresses
Primary practice location
509 Chatham St
Oglethope, GA 31068-3106
Mailing address
509 Chatham St
Oglethope, GA 31068
Phone (678) 769-0543
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.