Tyler, Charles Brent
Tyler, Charles Brent is an individual health care provider with primary practice located at 204 N Westover Blvd , Albany GA 31707-2983. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tyler, Charles Brent can be contacted via phone (229) 888-6559.Contact Information
Primary practice address
204 N Westover Blvd
Albany GA 31707-2983
Phone: (229) 888-6559
Fax: (229) 436-4107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 041234 | Georgia |
Profile Details
| NPI number | 1356337786 |
|---|---|
| LBN Legal business name | Tyler, Charles Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Oct 12th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356337786 | NPPES |
| Georgia | MEDICAID | 00692612B |
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