Individual
ERIC TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
17042953000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
12587
NC
231H00000X
Audiologist
4075
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4656658
CIGNA
NC
05
—
SAN146
—
SC
Enumeration date
02/13/2013
Last updated
04/27/2021
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