Search › Georgia › 172A00000X
Willie Tyler
NPI 1891685152 · on the registry since 2025 · sole proprietor
Practice
- Address
- 5555 Roswell Rd # Aptw12
Atlanta, GA 30342 - Phone
- (470) 602-1966
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 171400000X
175T00000X
225800000X
253Z00000X
311ZA0620X
347C00000X
347E00000X
372600000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-08
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