Individual
TYLER GRAY LEVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
(806) 638-5486
Mailing address
3313 SILVER STAR DR, DURHAM, NC 27713-1395
(806) 638-5486
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2015-01319
NC
Other
Enumeration date
04/13/2012
Last updated
05/18/2016
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