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Tyler Southern, PA
NPI 1326699745 · on the registry since 2019
Practice
- Address
- 152 E Kinderton Way Ste 101
Bermuda Run, NC 27006 - Phone
- (336) 893-3180
- Fax
- (336) 893-3189
- Organisation at this address
- Novant Medical Group, Inc.
Novant Health Medical Group, Llc
Novant Health Medical Group, Llc
Novant Health Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 731 Dogwood Rd, Asheville, NC
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina