Tyner, Michael Anthony

Tyner, Michael Anthony is an individual health care provider with primary practice located at 160 Macgregor Pines Dr Suite 310, Cary NC 27511. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Tyner, Michael Anthony can be contacted via phone (919) 234-4470.

Contact Information

Primary practice address
160 Macgregor Pines Dr Suite 310 Cary NC 27511
Phone: (919) 234-4470
Fax: (919) 234-4475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39705 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 39705 North Carolina

Profile Details

NPI number 1013948421
LBN Legal business name Tyner, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 2nd, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013948421 NPPES
North Carolina MEDICAID 1013948421

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