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Individual

MR. STEVEN DARRELL TYNDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
7820 BALLANTYNE COMMONS PKWY STE 100, CHARLOTTE, NC 28277-2889
(800) 472-7117
Mailing address
1409 LONG ST, ALBEMARLE, NC 28001-9621
(704) 438-6077

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1753
NC

Other

Enumeration date
06/27/2007
Last updated
07/08/2007
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