Individual
TYLER HYSLEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8821 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6594
(704) 887-1101
Mailing address
8821 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6594
(704) 887-1101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-05578
NC
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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