Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANISHA SHUANTE RILES
Active Sole ProprietorTANISHA SHUANTE RILES is a Clinical Medical Laboratory healthcare provider located in NICHOLLS, Georgia. NPI 1124995147 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · NICHOLLS, GA
Registration Details
- NPI Number
- 1124995147
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2025 (0.82676754204652 yrs)
- Last Updated
- Oct 22, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
702 VAN STREAT HWYNICHOLLS, GA, 315544017Browse GA providers · Browse ZIP 31554
- Phone
- 9125014094
- Fax
- 7083676703
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.