Tylah No.1

NPI #1104050442 in Oxford, North Carolina

Provider Information

NPI Number: 1104050442
Entity Type: Organization
Organization Name: Tylah No.1
Primary Specialty: Clinic/Center
Enumeration Date: May 13, 2009
Last Updated: May 13, 2009

Practice Location

Address: 308 SYCAMORE ST
City: Oxford
State: North Carolina
ZIP Code: 27565-3508
Phone: (919) 693-8299

Authorized Official

Name: MR. DENNIS SPENCER
Title: ADMINISTRATOR
Phone: (919) 693-8299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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