Individual
BRANDON LEE TINGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
Mailing address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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