Individual
MATTHEW TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
218 MAIN STREET, FULTON, AL 36446-0065
(334) 636-4823
Mailing address
24B CAMDEN BYP, CAMDEN, AL 36726-1770
(334) 882-1919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-130779
AL
Other
Enumeration date
09/23/2016
Last updated
07/31/2023
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