Brandon Lee Tingley, PA-C
Physician Assistant, Surgical in Raleigh, NC. Individual provider (NPI-1).
NPI number1851647713
StatusActive
Last updated in NPPESJul 30, 2012
Details
- NPI
- 1851647713
- Entity type
- Individual (NPI-1)
- Name
- Brandon Lee Tingley
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2012
- Last updated
- Jul 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
3009 New Bern AveRaleigh, NC 27610-1214
Phone 919-232-5020
Mailing address
3009 New Bern AveRaleigh, NC 27610-1214
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