Individual
CHARLES TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21 HIGHLAND AVE SE STE 100, ROANOKE, VA 24013-2218
(540) 344-9213
Mailing address
21 HIGHLAND AVE SE STE 100, ROANOKE, VA 24013-2218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004896
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285020826
—
VA
Enumeration date
04/10/2015
Last updated
09/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us