Tyler, Mary Allison Roensch

Tyler, Mary Allison Roensch is an individual health care provider with primary practice located at 2377 Lenora Church Rd , Snellville GA 30078-3232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Tyler, Mary Allison Roensch can be contacted via phone (770) 979-2020.

Contact Information

Primary practice address
2377 Lenora Church Rd Snellville GA 30078-3232
Phone: (770) 979-2020
Fax: (770) 978-3321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X BP10031491 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 066312 Georgia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 66312 Georgia

Profile Details

NPI number 1538335369
LBN Legal business name Tyler, Mary Allison Roensch
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated Nov 3rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538335369 NPPES
Georgia MEDICAID 003113439A

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