| Tylah No.1 | |
|
308 Sycamore St Oxford NC 27565-3508 | |
| (919) 693-8299 | |
| Not Available |
| Full Name | Tylah No.1 |
|---|---|
| Speciality | Clinic/center |
| Location | 308 Sycamore St, Oxford, North Carolina |
| Authorized Official Name and Position | Dennis Spencer (ADMINISTRATOR) |
| Authorized Official Contact | 9196938299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tylah No.1 308 Sycamore St Oxford NC 27565-3508 Ph: (919) 693-8299 | Tylah No.1 308 Sycamore St Oxford NC 27565-3508 Ph: (919) 693-8299 |
| NPI Number | 1104050442 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104050442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | FCL-039-010 (North Carolina) | Primary |
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