Individual
LARRY ALLEN TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2805 TOWNGATE DRIVE, RALEIGH, NC 27614-8920
(919) 570-3306
(919) 570-3307
Mailing address
2805 TOWNGATE DRIVE, RALEIGH, NC 27614-8920
(919) 570-3306
(919) 570-3307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13574
NC
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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