Individual
TYLER BAGLEY VEREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 FACILITY DR, CLYDE, NC 28721-9438
(828) 452-2211
(828) 452-4421
Mailing address
15 FACILITY DR, CLYDE, NC 28721-9438
(828) 452-2211
(828) 452-4421
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2012-01881
NC
208000000X
Pediatrics Physician
LL29898
SC
Other
Enumeration date
07/13/2007
Last updated
10/04/2012
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