Individual
MR. TYLER JOHNSON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4480 N SHALLOWFORD RD STE 200, ATLANTA, GA 30338-6410
(336) 653-9493
Mailing address
982 MEMORIAL DR SE APT 516, ATLANTA, GA 30316-4474
(336) 653-9493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12613
GA
Other
Enumeration date
09/13/2024
Last updated
01/06/2026
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