Individual
DAVID SHANE TYSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1581 YANCEYVILLE ST, GREENSBORO, NC 27405-6958
(336) 275-6445
(336) 275-3012
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-01513
NC
Other
Enumeration date
09/03/2008
Last updated
09/28/2021
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