Individual
MRS. MARY ALLISON ROENSCH TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2377 LENORA CHURCH RD, SNELLVILLE, GA 30078-3232
(770) 979-2020
(770) 978-3321
Mailing address
2377 LENORA CHURCH RD, SNELLVILLE, GA 30078-3232
(770) 979-2020
(770) 978-3321
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
066312
GA
207W00000X
Ophthalmology Physician
Primary
66312
GA
207W00000X
Ophthalmology Physician
BP10031491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113439A
—
GA
Enumeration date
05/01/2008
Last updated
11/03/2016
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