Individual
TYLER TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3402 BATTLEGROUND AVE, GREENSBORO, NC 27410-2578
(336) 883-0029
(336) 883-0867
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
(336) 883-0867
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
5011884
NC
363LF0000X
Family Nurse Practitioner
5011884
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011884
NC MEDICAL BOARD
NC
Enumeration date
06/17/2019
Last updated
04/22/2022
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