Individual
RANDY TINSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4140 HICKORY BLVD, GRANITE FALLS, NC 28630-8371
(828) 569-2795
(828) 202-8744
Mailing address
4140 HICKORY BLVD, GRANITE FALLS, NC 28630-8371
(828) 569-2795
(828) 202-8744
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40333728
—
NC
Enumeration date
09/21/2020
Last updated
09/21/2020
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