Individual
DR. JOHN GARRON TYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2424 CENTURY PL SE, HICKORY, NC 28602-4031
(828) 322-2050
Mailing address
PO BOX 3445, HICKORY, NC 28603-3445
(828) 322-2050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24718
NC
207W00000X
Ophthalmology Physician
Primary
24718
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891021E
—
NC
Enumeration date
04/12/2006
Last updated
02/04/2013
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