Individual
TYRONE WILLIAM ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1235 MAGNOLIA PARK CIR, CUMMING, GA 30040
(770) 985-4257
(770) 985-4258
Mailing address
PO BOX 1875, CUMMING, GA 30028-1875
(678) 516-8905
(678) 455-9154
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
02/11/2021
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