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Tyler Rodriguez

NPI 1063248201 · on the registry since 2024

Practice

Address
4480 N Shallowford Rd Ste 200
Atlanta, GA 30338
Phone
(336) 653-9493

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia