Tyson, Archie A.
Tyson, Archie A. is an individual health care provider with primary practice located at 1226 Eastchester Dr Ste 100 , High Point NC 27265-3116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Tyson, Archie A. can be contacted via phone (336) 481-8540.Contact Information
Primary practice address
1226 Eastchester Dr Ste 100
High Point NC 27265-3116
Phone: (336) 481-8540
Fax: (336) 481-8549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 29432 | North Carolina |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 29432 | North Carolina |
Profile Details
| NPI number | 1629039862 |
|---|---|
| LBN Legal business name | Tyson, Archie A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Dec 10th, 2020 - about 6 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 | 1629039862 | NPPES |
| North Carolina | MEDICAID | 8984446 | |
| North Carolina | Other | P00654540 |
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