Archie A. Tyson in Charlotte - Cardiovascular Disease
Archie A. Tyson - NPI 1629039862
Archie A. Tyson is a Cardiovascular Disease in Charlotte, North Carolina. Archie A. Tyson practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Archie A. Tyson is 1629039862. The last update date is 2020-12-10.
Archie A. Tyson's current location address is Po Box 751803, Charlotte, North Carolina. You can contact this provider via phone number 3369967076 and fax number 3369967832. The mailing address for Archie A. Tyson is Po Box 751803, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Archie A. Tyson |
|---|---|
| Address | Po Box 751803, Charlotte, North Carolina |
| Phone Number | 3369967076 |
| Fax Number | 3369967832 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629039862 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2020-12-10 |
Provider Mailing Address Detail
| Address | Po Box 751803 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282751803 |
| Phone Number | 3369967076 |
| Fax Number | 3369967832 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 29432 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8984446 | NC | -- | |
| P00654540 | NC | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Archie A. Tyson?
The Archie A. Tyson has been issued the NPI (National Provider Identifier) 1629039862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Archie A. Tyson is physically located?
The Archie A. Tyson is physically situated at the following address: Po Box 751803, Charlotte, NC, 282751803.
What is Archie A. Tyson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Archie A. Tyson is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.
When did the Archie A. Tyson receive its 1629039862?
The Archie A. Tyson was issued its 1629039862 on 2006-03-29, which is the date when the organization was assigned this unique identifier.
As of what date were the Archie A. Tyson's details last updated?
The information pertaining to the Archie A. Tyson, including its address, specialty, and other details, was most recently updated on 2020-12-10.