Individual
TYLER OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7743 CLAIBORNE WOODS RD, CHARLOTTE, NC 28216-9673
(980) 200-0526
Mailing address
7743 CLAIBORNE WOODS RD, CHARLOTTE, NC 28216-9673
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
36030226
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
934330623
CENTRAL PIEDMONT EMT-MEDIC CERTIFICATION
NC
Enumeration date
06/10/2024
Last updated
06/10/2024
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