Individual
CYNTHIA VESTAL TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BOCO
Contact information
Practice address
TIERNEY ORTHOTICS AND PROSTHETICS INC, 1345 WESTGATE CENTER DR, STE B, WINSTON SALEM, NC 27103
(336) 546-7165
(866) 403-2483
Mailing address
1345 WESTGATE CENTER DR. STE B, WINSTON SALEM, NC 27103
(336) 546-7165
(866) 403-2483
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224900000X
Mastectomy Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795524
—
NC
Enumeration date
09/13/2011
Last updated
02/09/2023
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