Organization
TYLAH NO.1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS SPENCER (ADMINISTRATOR)
(919) 693-8299
Entity
Organization
Contact information
Practice address
308 SYCAMORE ST, OXFORD, NC 27565-3508
(919) 693-8299
Mailing address
308 SYCAMORE ST, OXFORD, NC 27565-3508
(919) 693-8299
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
FCL-039-010
NC
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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