Individual
HEATHER ERIN TYNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
744 AIRPORT ROAD, KINSTON, NC 28504-8800
(252) 523-0026
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6740
(252) 752-6600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00617
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1653M
BCBS
NC
05
—
8102516
—
NC
Enumeration date
10/18/2006
Last updated
10/13/2014
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