Search › Georgia › 207W00000X
Mary Tyler, MD
NPI 1538335369 · on the registry since 2008
Practice
- Address
- 2377 Lenora Church Rd
Snellville, GA 30078 - Phone
- (770) 979-2020
- Fax
- (770) 978-3321
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207W00000X
207W00000X - Licence states on file
- TX, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-03
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