Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sandra Sullivan Tyler, PAC

Individual provider Medical Physician Assistant · NPI 1588963490

Sandra Sullivan Tyler, PAC is a Medical Physician Assistant in Suwanee, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

3350 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone: (678) 735-5300
Fax: (678) 735-5305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3288 (GA)

Record details

NPI number1588963490
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 17, 2011
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address3350 Paddocks Pkwy, Suwanee, GA 30024-9119

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