Individual
TYLER ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
(404) 727-7980
Mailing address
1182 BROOKHAVEN PARK PL NE, BROOKHAVEN, GA 30319-4560
(217) 419-5846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN307444
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA307444
GA
Other
Enumeration date
02/06/2025
Last updated
10/13/2025
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