Most Relevant Information
Provider Data
NPI Number: | 1003530544 |
Provider Name: | TYLER JOHN BARNES |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 0010-14139 |
Most Important Dates
Enumeration Date: | 09/28/2022 |
Last Updated: | 05/28/2024 |
Provider Practice Location
449 N WENDOVER RD STE A
CHARLOTTE
NC
282111064
Practice Location Phone/Fax
Phone: | 7043166005 |
Fax: | 7043166006 |
Provider Mailing Location
PO BOX 60447
CHARLOTTE
NC
282600447
Provider Mailing Phone/Fax
Phone: | 7043166005 |
Fax: |