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1891256129
TYLER CHARLES GREATHOUSE
BIRMINGHAM, AL
NPI
1891256129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-28
Last Update Date
2022-06-10
Business Address
TYLER CHARLES GREATHOUSE DO
1900 UNIVERSITY BLVD # 422
BIRMINGHAM, AL 35233-2060
Phone number: 205-934-4328
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Mailing Address
TYLER CHARLES GREATHOUSE DO
1720 2ND AVE S # THT422
BIRMINGHAM, AL 35294-0006
Phone number:
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