Organization
TRYON MEDICAL PARTNERS, PLLC
Active
Parent organization
TRYON MEDICAL PARTNERS, PLLC
Other names
Tryon Diabetes Prevention Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRYON MEDICAL PARTNERS, PLLC
Authorized official
JORDAN ARCHER MHA (CHIEF OPERATING OFFICIER)
(704) 259-4623
Entity
Organization
Contact information
Practice address
6060 PIEDMONT ROW DR S FL 6, CHARLOTTE, NC 28287-3884
(704) 489-3094
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 918-1934
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
02/21/2024
Last updated
05/14/2024
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