Samuel Lester Tyson MD

NPI 1750327870 - Ophthalmology - 207W00000X

NPI Details
NPI 1750327870
Gender Male
Enumeration Date 06/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3810 N ELM ST
209
GREENSBORO NC, 27455, US
Phone (336) 282-3940
Fax (336) 282-8404
Business Location
3810 N ELM ST
209
GREENSBORO NC, 27455, US
Phone (336) 282-3940
Fax (336) 282-8404
Toxanomy
Taxonomy Code 207W00000X
License State North Carolina
License Number 38229
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According to our database, Samuel Lester Tyson MD NPI is 1750327870, taxonomy code is 207W00000X and license number is 38229, license state is located at North Carolina. Samuel Lester Tyson MD physically located at 3810 N Elm St, Greensboro NC, 27455. NPI Number Samuel Lester Tyson MD has the Individual type.

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1750327870 NPI number is provided on an as is basis without warranty of any kind. 1750327870 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Lester Tyson MD are for informational purposes only.