Individual
DR. ARCHIE A. TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1226 EASTCHESTER DR STE 100, HIGH POINT, NC 27265-3116
(336) 481-8540
(336) 481-8549
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 996-7076
(336) 996-7832
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
29432
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
29432
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8984446
—
NC
01
—
P00654540
RR MEDICARE
NC
Enumeration date
03/29/2006
Last updated
12/10/2020
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