Individual
DR. HEATHER T TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3656
(434) 200-3650
Mailing address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3656
(434) 200-3650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116030496
VA
208M00000X
Hospitalist Physician
Primary
0116030496
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
FAMILY MEDICINE
VA
Enumeration date
06/22/2017
Last updated
07/16/2020
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