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1689451916
RICHARD TYLER INGRAM
CHARLOTTE, NC
NPI
1689451916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5018684)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
RICHARD TYLER INGRAM FNP
2230 PARK RD STE 105
CHARLOTTE, NC 28203-6664
Phone number: 980-221-2689
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Mailing Address
RICHARD TYLER INGRAM FNP
2230 PARK RD STE 105
CHARLOTTE, NC 28203-6664
Phone number: 336-681-5438
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