MEDICARE: LYNN-MIRVA ROACH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1639960214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN-MIRVA ROACH

Provider Business Mailing Address
First Line	:	2358 LOREN FALLS LN SW
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30008-5088
Country	:	US
Telephone Number	:	404-729-0070
Fax Number	:

Provider Business Practice Location Address
First Line	:	2358 LOREN FALLS LN SW
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30008-5088
Country	:	US
Telephone Number	:	404-729-0070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2025
Last Update Date	:	05/14/2025

Similar Medicare Providers

1194729707 — DR. ANGEL MENDOZA M.D.
Practice Location Address:

1650 COUNTY SERVICES PKWY
MARIETTA, GA
30008-4010

Practice Phone: 770-514-2361
Practice Fax: 770-514-2811

1740285956 — DR. BRADFORD CRAIG LIPMAN MD
Practice Location Address:

1605 ROBERTA DR SW
MARIETTA, GA
30008-3855

Practice Phone: 770-419-3120
Practice Fax:

1033114962 — CARLA A MCLEAN-JOSEPH M.D.
Practice Location Address:

1575 COUNTY SERVICES PKWY SW
MARIETTA, GA
30008-4007

Practice Phone: 770-528-4192
Practice Fax: 770-528-5463

1518962414 — OFELIA S MANDOCK M.D.
Practice Location Address:

1650 COUNTY SERVICES PKWY SW
MARIETTA, GA
30008-4010

Practice Phone: 770-514-2361
Practice Fax: 770-514-2811

1518963511 — MRS. ALPHA FOWLER BRYAN M.D.
Practice Location Address:

1650 COUNTY SERVICES PKWY SW
MARIETTA, GA
30008-4010

Practice Phone: 770-514-2361
Practice Fax: 770-514-2811

1649263948 — DR. TOYA DOTSON GREENE D.D.S.
Practice Location Address:

1650 COUNTY SERVICES PKWY SW
MARIETTA, GA
30008-4010

Practice Phone: 770-514-2372
Practice Fax:

Directions to “ LYNN-MIRVA ROACH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.