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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1629039862 NPPES
North Carolina MEDICAID 8984446
North Carolina Other P00654540

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